RONALD IRVIN PROKES DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014452

License Status

INACTIVE

Business

Title

DDS

First Name

RONALD

Middle

IRVIN

Last Name

PROKES

Business Name

RONALD IRVIN PROKES DDS

Original Issue Date

11/02/1972

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

AVON

State

Zip

46123

County

INDIANA

Ever Disciplined

LastModifiedDate

06/06/2012