EDWIN VINCENT PRATT MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****42

NOT RENEWED

N

MD

EDWIN

VINCENT

PRATT

EDWIN VINCENT PRATT MD

03/16/1993

03/16/1993

07/31/2005

CHICAGO

IL

60616

COOK

II III IV V

N

10/09/2006