DANIEL B PRUDICH MD - Medical Doctor License in West Virginia | # 036076892

DANIEL B PRUDICH MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076892

License Status

INACTIVE

Business

N

First Name

DANIEL B

Last Name

PRUDICH

Suffix

MD

Business Name

DANIEL B PRUDICH MD

Original Issue Date

04/13/1988

Effective Date

04/13/1988

Expiration Date

07/31/1990

State

WV

Ever Disciplined

N

LastModifiedDate

09/20/2006