GEORGE JOHN PROCHNOW MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****09

NOT RENEWED

N

GEORGE JOHN

PROCHNOW

MD

GEORGE JOHN PROCHNOW MD

01/05/1983

01/05/1983

07/31/1987

CHARLESTON

IL

61920

COLES

II III IV V

N

09/26/2006