MARY KATHRYN PRAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130474

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

KATHRYN

Last Name

PRAHL

Business Name

MARY KATHRYN PRAHL MD

Original Issue Date

06/05/2012

Effective Date

06/05/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014