DAVID G PROZZO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013375

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

PROZZO

Business Name

DAVID G PROZZO

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

09/01/1983

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006