DIANE J PRAGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

PRAGER

Suffix

Business Name

DIANE J PRAGER MD

Original Issue Date

01/20/2006

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021