VIJAY PRASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

VIJAY

Last Name

PRASAD

Business Name

VIJAY PRASAD MD

Original Issue Date

06/05/2017

Effective Date

06/05/2017

Expiration Date

09/30/2020

State

Zip

53907

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021