NICHOLAS P PRUC DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****36

NOT RENEWED

N

NICHOLAS P

PRUC

DO

NICHOLAS P PRUC DO

07/13/1992

08/14/2008

07/31/2011

DES PLAINES

IL

60016

COOK

II III IV V

N

04/12/2017