PRANAV PRAKASH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

NOT RENEWED

N

MD

PRANAV

PRAKASH

PRANAV PRAKASH MD

10/14/2014

07/13/2017

09/30/2020

BERKELEY

IL

60163

COOK

PRACTITIONER

II III IV V

N

01/14/2021