OM PRAKASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

Last Name

PRAKASH

Suffix

Business Name

OM PRAKASH MD

Original Issue Date

07/20/1981

Effective Date

07/20/1981

Expiration Date

07/31/1984

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006