Indiana
Professional Licensing Agency
Thomas Alan Joseph Prokop
Temporary Physician Assistant Permit
License number
99064778A
Date granted
11/13/2014
Date expires
08/13/2015
Class
Temporary Physician Assistant Permit
Status
Active
Address
Orland Park IL 60467
indianalicensing.org
ID 29181058
LAST UPDATED 2026-05-20 14:38:21 UTC
LAST UPDATED 2026-05-20 14:38:21 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.