JEFFREY R PUA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050902

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

PUA

Suffix

Business Name

JEFFREY R PUA MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009