EDWARD RICHARD PROSTKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

EDWARD RICHARD

Last Name

PROSTKO

Suffix

Business Name

EDWARD RICHARD PROSTKO MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006