JOHN GORDON PROUT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156476

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

GORDON

Last Name

PROUT

Business Name

JOHN GORDON PROUT DO

Original Issue Date

04/07/2021

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

06/27/2023