DENNIS WESLEY PROHASKA Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002276

License Status

CANCELLED

Business

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

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2014