PRAFUL VAKIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

PRAFUL

Last Name

VAKIL

Business Name

PRAFUL VAKIL MD

Original Issue Date

12/11/2020

Effective Date

12/11/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023