BRUCE I PRAGER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****22

NOT RENEWED

N

BRUCE I

PRAGER

MD

BRUCE I PRAGER MD

12/30/1983

12/30/1983

07/31/1987

PEORIA

IL

61615

PEORIA

II III IV V

N

09/26/2006