PRAKASH JEYA THIRUPPATHI 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

PRAKASH JEYA

Last Name

THIRUPPATHI

Suffix

Business Name

PRAKASH JEYA THIRUPPATHI MD

Original Issue Date

04/23/1997

Effective Date

04/23/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006