WAYNE T PROKOTT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000211

License Status

EXPIRED

Business

First Name

WAYNE

Middle

Last Name

PROKOTT

Business Name

WAYNE T PROKOTT

Original Issue Date

05/01/1993

Effective Date

05/01/1993

Expiration Date

07/03/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006