MICHAEL ROBERT PRANZATELLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101666

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ROBERT

Last Name

PRANZATELLI

Suffix

Business Name

MICHAEL ROBERT PRANZATELLI MD

Original Issue Date

12/02/1999

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017