Tammy K Prockiw
ExpiredIllinois license 085000519
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000519
- Status
- Expired (Not Renewed)
- First issued
- February 5, 1993
- Expired
- March 1, 1996
- License holder
- Tammy K Prockiw
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 02/05/1993
Contact
Berwyn, IL 60402
Cook County