DANIEL B PRUDICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076892

License Status

INACTIVE

Business

First Name

DANIEL B

Last Name

PRUDICH

Suffix

Business Name

DANIEL B PRUDICH MD

Original Issue Date

04/13/1988

Effective Date

04/13/1988

Expiration Date

07/31/1990

City

CHARLESTON

State

Zip

25314

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006