LAWRENCE PRADEEP PRABHAKAR MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081708

License Status

NOT RENEWED

Business

Title

First Name

LAWRENCE PRADEEP

Last Name

PRABHAKAR

Business Name

LAWRENCE PRADEEP PRABHAKAR MD

Original Issue Date

09/24/1985

Effective Date

09/24/1985

Expiration Date

03/31/1987

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005