PAUL D PROKOP - Podiatrist License in Illinois | # 016004800

PAUL D PROKOP

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004800

License Status

NOT RENEWED

Business

N

First Name

PAUL D

Last Name

PROKOP

Business Name

PAUL D PROKOP

Original Issue Date

10/24/1996

Effective Date

10/24/1996

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006