The holder whose full name is PROSPERO, BELLA T,come from Palos Heights IL,hold the Physician license(NO.01030786A) which status is Expired Non-Renewable.
| Name | PROSPERO, BELLA T |
|---|---|
| License Number | 01030786A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Palos Heights |
| State | IL |