ROBERT C PRENTICE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014756

License Status

EXPIRED

Business

First Name

ROBERT C

Last Name

PRENTICE

Suffix

Business Name

ROBERT C PRENTICE DO

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

06/22/1984

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006