DAVID R PUCHALSKY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016157

License Status

EXPIRED

Business

First Name

DAVID R

Last Name

PUCHALSKY

Suffix

Business Name

DAVID R PUCHALSKY MD

Original Issue Date

07/08/1983

Effective Date

07/08/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006