BALA PRAKASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138993

License Status

NOT RENEWED

Business

Title

First Name

BALA

Last Name

PRAKASH

Business Name

BALA PRAKASH MD

Original Issue Date

08/24/2015

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021