VIVEK PRABHAKARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153583

License Status

ACTIVE

Business

Title

First Name

VIVEK

Last Name

PRABHAKARAN

Business Name

VIVEK PRABHAKARAN MD

Original Issue Date

07/06/2020

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

FITCHBURG

State

Zip

53711

Ever Disciplined

LastModifiedDate

06/10/2023