MICHAEL ANTHONY PUGNALE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063129

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

PUGNALE

Business Name

MICHAEL ANTHONY PUGNALE MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

02/08/2016