JENNIFER LYNN PRATHER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054759

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

PRATHER

Business Name

JENNIFER LYNN PRATHER MD

Original Issue Date

06/01/2008

Effective Date

06/01/2008

Expiration Date

05/31/2011

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

06/05/2008