DAVID R PUCHALSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070873

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

PUCHALSKY

Suffix

Business Name

DAVID R PUCHALSKY MD

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006