DIANE J PRAGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

PRAGER

Suffix

Business Name

DIANE J PRAGER MD

Original Issue Date

08/04/2015

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021