DENNIS WESLEY PROHASKA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

DENNIS

Middle

WESLEY

Last Name

PROHASKA

Business Name

DENNIS WESLEY PROHASKA

Original Issue Date

09/03/2014

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023