NICHOLAS P PRUC DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024015

License Status

EXPIRED

Business

First Name

NICHOLAS P

Last Name

PRUC

Suffix

Business Name

NICHOLAS P PRUC DO

Original Issue Date

06/02/1989

Effective Date

06/02/1989

Expiration Date

06/22/1992

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006