PRANAY R KANAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

PRANAY

Middle

Last Name

KANAKE

Business Name

PRANAY R KANAKE MD

Original Issue Date

03/11/2014

Effective Date

10/21/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020