EDWARD RICHARD PROSTKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053784

License Status

NOT RENEWED

Business

First Name

EDWARD RICHARD

Last Name

PROSTKO

Suffix

Business Name

EDWARD RICHARD PROSTKO MD

Original Issue Date

10/14/1976

Effective Date

10/14/1976

Expiration Date

07/31/1990

City

PITTSBURGH

State

Zip

15212

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

07/06/2015