LAWRENCE L PROKOP DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013446

License Status

EXPIRED

Business

First Name

LAWRENCE L

Last Name

PROKOP

Suffix

Business Name

LAWRENCE L PROKOP DO

Original Issue Date

08/07/1981

Effective Date

08/07/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006