MICHAEL ANTHONY PUISIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068255

License Status

ACTIVE

Business

First Name

MICHAEL ANTHONY

Last Name

PUISIS

Suffix

Business Name

MICHAEL ANTHONY PUISIS DO

Original Issue Date

02/21/1984

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023