ANIBAL F PRENTICE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019841

License Status

EXPIRED

Business

First Name

ANIBAL F

Last Name

PRENTICE

Suffix

Business Name

ANIBAL F PRENTICE MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

06/26/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006