DENNIS WESLEY PROHASKA Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

CANCELLED

Business

First Name

DENNIS

Middle

WESLEY

Last Name

PROHASKA

Business Name

DENNIS WESLEY PROHASKA

Original Issue Date

11/07/2007

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2010