PILAR M PRABHU DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113124

License Status

INACTIVE

Business

First Name

PILAR

Middle

Last Name

PRABHU

Suffix

Business Name

PILAR M PRABHU DO

Original Issue Date

02/22/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BASKING RIDGE

State

Zip

07920

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

04/17/2008