UTE C PROHASKA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023765

License Status

EXPIRED

Business

First Name

UTE C

Last Name

PROHASKA

Business Name

UTE C PROHASKA

Original Issue Date

05/11/1989

Effective Date

05/11/1989

Expiration Date

06/30/1992

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006