ROBERT D PROCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

PROCK

Suffix

Business Name

ROBERT D PROCK MD

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

07/31/2008

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008