MATTHEW DOUGLAS PUGH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049295

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

DOUGLAS

Last Name

PUGH

Business Name

MATTHEW DOUGLAS PUGH DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/13/2007