TAMMY K PROCKIW - Physician Assistant License in Illinois | # 085000519

TAMMY K PROCKIW

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000519

License Status

NOT RENEWED

Business

N

First Name

TAMMY K

Last Name

PROCKIW

Business Name

TAMMY K PROCKIW

Original Issue Date

02/05/1993

Effective Date

02/05/1993

Expiration Date

03/01/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006