ERIC E PROMMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

ERIC E

Last Name

PROMMER

Suffix

Business Name

ERIC E PROMMER MD

Original Issue Date

10/22/1985

Effective Date

10/22/1985

Expiration Date

07/31/1996

City

CRETE

State

Zip

60417

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006