ERIC E PROMMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

ERIC E

Last Name

PROMMER

Suffix

Business Name

ERIC E PROMMER MD

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/31/1993

City

OAKWOOD

State

Zip

61858

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006