EDWIN VINCENT PRATT MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****41

NOT RENEWED

N

MD

EDWIN

VINCENT

PRATT

EDWIN VINCENT PRATT MD

09/10/1990

09/10/1990

07/31/2008

CHICAGO

IL

60621

COOK

II III IV V

N

11/06/2008