SRIDHAR B PRASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

SRIDHAR

Middle

Last Name

PRASAD

Suffix

Business Name

SRIDHAR B PRASAD MD

Original Issue Date

03/07/2006

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014