SHYAM K PRABHAKARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

SHYAM

Middle

Last Name

PRABHAKARAN

Suffix

Business Name

SHYAM K PRABHAKARAN MD

Original Issue Date

07/21/2006

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023