ALEXA RAE PRONGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169382

License Status

ACTIVE

Business

Title

First Name

ALEXA

Middle

RAE

Last Name

PRONGA

Business Name

ALEXA RAE PRONGA MD

Original Issue Date

03/19/2024

Effective Date

03/19/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

03/19/2024