OLEG PROZOROVSKY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****91

NOT RENEWED

N

OLEG

PROZOROVSKY

MD

OLEG PROZOROVSKY MD

03/16/1982

03/16/1982

07/31/2002

TINLEY PARK

IL

60477

COOK

II III IV V

N

10/09/2006