SARA SUSAN PROCKNOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161003

License Status

ACTIVE

Business

Title

First Name

SARA

Middle

SUSAN

Last Name

PROCKNOW

Business Name

SARA SUSAN PROCKNOW MD

Original Issue Date

06/23/2022

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/17/2023