AARON PROWELLER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038224

License Status

CANCELLED

Business

First Name

AARON

Last Name

PROWELLER

Business Name

AARON PROWELLER

Original Issue Date

06/03/1998

Effective Date

06/03/1998

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006