MICHAEL T PRUCHNICKI

Business Entity
INACTIVE

Medical Doctor

LICENSED PHYSICIAN AND SURGEON

036074495

INACTIVE

N

MICHAEL T

PRUCHNICKI

MICHAEL T PRUCHNICKI

02/16/1987

02/16/1987

07/31/1990

DES MOINES

IA

50312

IOWA

Y

09/20/2006

1988000798

Fine

09/22/1989