Nicholas Jacob Prabhakar Do

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125080657

Status

Inactive (Cancelled)

First issued

June 25, 2022

Expired

June 24, 2025

License holder

Nicholas Jacob Prabhakar

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Internal Medicine

Current term began

06/25/2022

Other Illinois licenses under this name

• IL
  Nicholas Jacob Prabhakar Do

  License 036171870 · Nicholas Jacob Prabhakar

  Licensed Physician and Surgeon (Medical Board)
  Active

  Park Ridge, IL

  Expires Jul 31, 2029
• IL
  Nicholas Jacob Prabhakar Do

  License 33*****09 · Nicholas Jacob Prabhakar

  Licensed Physician Controlled Substance (Medical Board)
  Active

  Park Ridge, IL

  Expires Jul 31, 2029

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