DONNA PROHAZKA MD - Medical Doctor License in Wisconsin | # 036098208

DONNA PROHAZKA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098208

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DONNA

Last Name

PROHAZKA

Business Name

DONNA PROHAZKA MD

Original Issue Date

07/07/1998

Effective Date

08/12/2008

Expiration Date

07/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

11/14/2011