MICHAEL ANTHONY PUISIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013919

License Status

EXPIRED

Business

First Name

MICHAEL ANTHONY

Last Name

PUISIS

Suffix

Business Name

MICHAEL ANTHONY PUISIS DO

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006