TRENT D PROEHL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111370

License Status

ACTIVE

Business

First Name

TRENT

Middle

Last Name

PROEHL

Business Name

TRENT D PROEHL

Original Issue Date

05/20/2004

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2023