MICAH T PROCHASKA MD - Medical Doctor License in Illinois | # 036134708

MICAH T PROCHASKA MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134708

License Status

ACTIVE

Business

N

Title

MD

First Name

MICAH

Middle

T

Last Name

PROCHASKA

Business Name

MICAH T PROCHASKA MD

Original Issue Date

02/28/2014

Effective Date

04/07/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

04/07/2023