HEIDI PRATHER DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****31

NOT RENEWED

N

HEIDI

PRATHER

DO

HEIDI PRATHER DO

05/22/1995

05/22/1995

07/31/1999

CHICAGO

IL

60611

COOK

II III IV V

N

04/05/2020