MICHAEL T PRUCHNICKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

MICHAEL T

Last Name

PRUCHNICKI

Business Name

MICHAEL T PRUCHNICKI

Original Issue Date

03/06/1987

Effective Date

03/06/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006