JAMES EDWARD PUKLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042598

License Status

NOT RENEWED

Business

First Name

JAMES EDWARD

Last Name

PUKLIN

Suffix

Business Name

JAMES EDWARD PUKLIN MD

Original Issue Date

07/01/1969

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/02/2014