JOSHUA DANIEL PROZIALECK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048990

License Status

EXPIRED

Business

First Name

JOSHUA

Middle

DANIEL

Last Name

PROZIALECK

Suffix

Business Name

JOSHUA DANIEL PROZIALECK MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/26/2008