EDWARD S PROROK - Dentist License in Illinois | # 021000243

EDWARD S PROROK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000243

License Status

NOT RENEWED

Business

N

First Name

EDWARD S

Last Name

PROROK

Business Name

EDWARD S PROROK

Original Issue Date

11/17/1955

Effective Date

11/17/1955

Expiration Date

09/30/1984

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005