PRAMODE K KESHAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

PRAMODE K

Last Name

KESHAVA

Suffix

Business Name

PRAMODE K KESHAVA MD

Original Issue Date

08/19/1996

Effective Date

08/19/1996

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020