License Directory

Prabhas Tungsangiumvisai Md

Expired

Illinois license 036051055

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036051055
Status
Expired (Not Renewed)
First issued
May 22, 1975
Expired
July 31, 1984
License holder
Prabhas Tungsangiumvisai Md
Entity type
Individual

Classifications

More from the license record

Current term began
05/22/1975

Contact

Sacramento, CA 95816
California County