Sivaraman Prakasam

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

021002506

Status

Expired (Not Renewed)

First issued

April 24, 2013

Expired

January 31, 2022

License holder

Sivaraman Prakasam

Entity type

Individual

Classifications

• Licensed Specialist in Dentistry (Dental) Dental

More from the license record

Specialty

Periodontics

Current term began

08/29/2018

Other Illinois licenses under this name

• IL
  Sivaraman Prakasam

  License 019029357

  Licensed Dentist (Dental)
  Expired

  Portland, OR

  Expired Jan 31, 2022

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