JIGNASA M PURI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033200

License Status

EXPIRED

Business

First Name

JIGNASA

Middle

Last Name

PURI

Suffix

Business Name

JIGNASA M PURI DO

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/20/1998

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006