MICHAELLA MALONEY PRASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

MICHAELLA

Middle

MALONEY

Last Name

PRASAD

Business Name

MICHAELLA MALONEY PRASAD MD

Original Issue Date

05/06/2010

Effective Date

05/06/2010

Expiration Date

07/31/2011

City

BROOKLINE

State

Zip

02446

County

MASSACHUSETTS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011