The holder whose full name is PRATT, DAVID FREDERIC,come from GLEN ELLYN IL,hold the Physician license(NO.01036131A) which status is Expired Non-Renewable.
| Name | PRATT, DAVID FREDERIC |
|---|---|
| License Number | 01036131A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | GLEN ELLYN |
| State | IL |