TIMOTHY ALLEN PRATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

ALLEN

Last Name

PRATT

Business Name

TIMOTHY ALLEN PRATT MD

Original Issue Date

11/13/2018

Effective Date

11/13/2018

Expiration Date

09/30/2020

City

GALVA

State

Zip

61434

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021