G BABU RAJENDRA PRASAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

G BABU RAJENDRA

Last Name

PRASAD

Suffix

Business Name

G BABU RAJENDRA PRASAD MD

Original Issue Date

11/21/1988

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023