LAWRENCE L PROKOP DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062847

License Status

INACTIVE

Business

First Name

LAWRENCE L

Last Name

PROKOP

Suffix

Business Name

LAWRENCE L PROKOP DO

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

07/31/1987

City

GAITHERSBURG

State

Zip

20878

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006