ROBERT C PRENTICE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****52

NOT RENEWED

N

ROBERT C

PRENTICE

DO

ROBERT C PRENTICE DO

06/23/2008

07/09/2020

07/31/2023

MERRIONETTE PARK

IL

60803

WILL

PRACTITIONER

II III IV V

N

11/30/2023