TAMMY K PROCKIW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000519

License Status

NOT RENEWED

Business

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

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006