PUJA GURUNG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057574

License Status

CANCELLED

Business

Title

First Name

PUJA

Last Name

GURUNG

Business Name

PUJA GURUNG MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/05/2010