PRAKASH VAISHNAV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

PRAKASH

Last Name

VAISHNAV

Suffix

Business Name

PRAKASH VAISHNAV MD

Original Issue Date

01/01/1997

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023