BORIS PRUSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092271

License Status

NOT RENEWED

Business

First Name

BORIS

Last Name

PRUSA

Suffix

Business Name

BORIS PRUSA MD

Original Issue Date

12/23/1995

Effective Date

12/23/1995

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006