DENNIS WESLEY PROHASKA - Physician Assistant License in Illinois | # 085002276

DENNIS WESLEY PROHASKA

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002276

License Status

CANCELLED

Business

N

First Name

DENNIS

Middle

WESLEY

Last Name

PROHASKA

Business Name

DENNIS WESLEY PROHASKA

Original Issue Date

08/03/2004

Effective Date

02/25/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

09/04/2014