SHIVANA G PRAKASH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077842

License Status

INACTIVE

Business

First Name

SHIVANA G

Last Name

PRAKASH

Business Name

SHIVANA G PRAKASH

Original Issue Date

09/13/1988

Effective Date

09/13/1988

Expiration Date

07/31/1990

City

WARREN

State

Zip

48093

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006