DENNIS WESLEY PROHASKA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057639

License Status

CANCELLED

Business

First Name

DENNIS

Middle

WESLEY

Last Name

PROHASKA

Business Name

DENNIS WESLEY PROHASKA

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/24/2014