DOROTHY T PRUSEK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023123

License Status

EXPIRED

Business

First Name

DOROTHY T

Last Name

PRUSEK

Business Name

DOROTHY T PRUSEK

Original Issue Date

08/17/1988

Effective Date

08/17/1988

Expiration Date

08/16/1991

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006