DAISY S PURACAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058368

License Status

NOT RENEWED

Business

First Name

DAISY S

Last Name

PURACAL

Suffix

Business Name

DAISY S PURACAL MD

Original Issue Date

02/21/1979

Effective Date

02/21/1979

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006