Sivaraman Prakasam

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019029357

Status

Expired (Not Renewed)

First issued

April 24, 2013

Expired

January 31, 2022

License holder

Sivaraman Prakasam

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/29/2018

Other Illinois licenses under this name

• IL
  Sivaraman Prakasam

  License 021002506

  Licensed Specialist in Dentistry (Dental)
  Expired

  Portland, OR

  Expired Jan 31, 2022

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