DOROTHY T PRUSEK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

DOROTHY T

Last Name

PRUSEK

Business Name

DOROTHY T PRUSEK

Original Issue Date

11/16/1990

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023