LAWRENCE L PROKOP DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****87

NOT RENEWED

N

LAWRENCE L

PROKOP

DO

LAWRENCE L PROKOP DO

09/14/1981

09/14/1981

07/31/1984

CHICAGO

IL

60611

COOK

II III IV V

N

09/26/2006