MARK TERENCE PUA MUJER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156217

License Status

ACTIVE

Business

Title

First Name

MARK TERENCE

Middle

PUA

Last Name

MUJER

Business Name

MARK TERENCE PUA MUJER MD

Original Issue Date

03/22/2021

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

04/19/2023