PRUDENCE HARTWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146564

License Status

ACTIVE

Business

Title

First Name

PRUDENCE

Last Name

HARTWELL

Business Name

PRUDENCE HARTWELL MD

Original Issue Date

06/25/2018

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/06/2023