SUJATHA PRABHAKARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

SUJATHA

Last Name

PRABHAKARAN

Business Name

SUJATHA PRABHAKARAN MD

Original Issue Date

12/01/2023

Effective Date

12/01/2023

Expiration Date

07/31/2026

City

MUNSTER

State

Zip

46321

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/01/2023