HEIDI PRATHER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027674

License Status

EXPIRED

Business

First Name

HEIDI

Last Name

PRATHER

Suffix

Business Name

HEIDI PRATHER DO

Original Issue Date

04/20/1992

Effective Date

04/20/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006