License Directory

Prathip Sivaprakasam

Expired

Illinois license 019028208

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
019028208
Status
Expired (Not Renewed)
First issued
February 17, 2010
Expired
September 30, 2012
License holder
Prathip Sivaprakasam
Entity type
Individual

Classifications

  • Licensed Dentist (Dental) Dental

More from the license record

Current term began
02/17/2010

Other Illinois licenses under this name

  • IL
    Prathip Sivaprakasam
    License 31*****14
    Licensed Dentist Controlled Substance (Dental)
    Expired
    Chicago, IL
    Expired Sep 30, 2012

Contact

Chicago, IL 60661
Cook County