Prathip Sivaprakasam

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****14

Status

Expired (Not Renewed)

First issued

February 17, 2010

Expired

September 30, 2012

License holder

Prathip Sivaprakasam

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty

Practitioner

Controlled substance schedules

II III IV V

Current term began

02/17/2010

Other Illinois licenses under this name

• IL
  Prathip Sivaprakasam

  License 019028208

  Licensed Dentist (Dental)
  Expired

  Chicago, IL

  Expired Sep 30, 2012

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