JEREMY JOSEPH PRUZIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065195

License Status

EXPIRED

Business

Title

First Name

JEREMY

Middle

JOSEPH

Last Name

PRUZIN

Business Name

JEREMY JOSEPH PRUZIN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/25/2018