THOMAS A PROKOP Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

PROKOP

Business Name

THOMAS A PROKOP

Original Issue Date

04/15/2011

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/19/2026