PAUL D PROKOP Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004800

License Status

NOT RENEWED

Business

First Name

PAUL D

Last Name

PROKOP

Business Name

PAUL D PROKOP

Original Issue Date

10/24/1996

Effective Date

10/24/1996

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006