GEORGE GUNTUR A PUJALTE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048041

License Status

EXPIRED

Business

First Name

GEORGE GUNTUR

Middle

Last Name

PUJALTE

Business Name

GEORGE GUNTUR A PUJALTE

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007