SHIVANA G PRAKASH
Licensed Physician And Surgeon
Illinois 036077842 Inactive
This Illinois license was held by SHIVANA G PRAKASH. The license is no longer active. It was granted on 09/13/1988 and expired on 07/31/1990
LICENSE DETAILS
- License Number: 036077842
- Category: LICENSED PHYSICIAN AND SURGEON
- Status: Inactive
- Date Granted: 09/13/1988 (over 36 years ago)
- Expiry Date: 07/31/1990 (over 34 years ago)
LOCATIONS
A Address
WARREN, MI 48093