License holder summary

WIESLAW PROKOP is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for WIESLAW PROKOP is *NO CITY PA 00000. This medical practitioner license is not current. The license was granted 12/30/1998 and expired on 07/12/2005.

Department of State

Board of Medicine

WIESLAW PROKOP
Graduate Medical Trainee
License number
MT042378T
Date granted
12/30/1998
Date expires
07/12/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
*NO CITY PA 00000
medicinepa.com
ID 37558455
LAST UPDATED 2024-04-21 11:56:12 UTC

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