TIMOTHY HERBERT PRAHLOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113678

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

HERBERT

Last Name

PRAHLOW

Business Name

TIMOTHY HERBERT PRAHLOW MD

Original Issue Date

05/12/2005

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/18/2023