MICHAEL T PRUCHNICKI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018787

License Status

EXPIRED

Business

First Name

MICHAEL T

Last Name

PRUCHNICKI

Business Name

MICHAEL T PRUCHNICKI

Original Issue Date

06/26/1985

Effective Date

06/26/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006