ROBERT C PRENTICE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****14

NOT RENEWED

N

ROBERT C

PRENTICE

DO

ROBERT C PRENTICE DO

12/28/1998

12/28/1998

07/31/2002

OAK LAWN

IL

60453

COOK

II III IV V

N

04/05/2020