REBECCA A PROEHL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

REBECCA

Middle

Last Name

PROEHL

Business Name

REBECCA A PROEHL

Original Issue Date

07/27/2005

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

HOPEDALE

State

Zip

61747

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023