ADRIENNE L PRENTISS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032924

License Status

EXPIRED

Business

First Name

ADRIENNE

Middle

Last Name

PRENTISS

Business Name

ADRIENNE L PRENTISS

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

09/24/1996

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006