JAMIE PUALANI TREADWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148888

License Status

NOT RENEWED

Business

Title

First Name

JAMIE

Middle

PUALANI

Last Name

TREADWAY

Business Name

JAMIE PUALANI TREADWAY MD

Original Issue Date

04/03/2019

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021