NICHOLAS P PRUC DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084411

License Status

NOT RENEWED

Business

First Name

NICHOLAS P

Last Name

PRUC

Suffix

Business Name

NICHOLAS P PRUC DO

Original Issue Date

05/28/1992

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017