DIANE J PRAGER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115134

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

PRAGER

Suffix

Business Name

DIANE J PRAGER MD

Original Issue Date

01/20/2006

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

06/12/2017