JOSE DAVID PUELL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013663

License Status

EXPIRED

Business

First Name

JOSE DAVID

Last Name

PUELL

Business Name

JOSE DAVID PUELL

Original Issue Date

01/29/1982

Effective Date

01/29/1982

Expiration Date

01/21/1984

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006