MICHAEL A PUDENZ MD - Medical Doctor License in Illinois | # 130001059

MICHAEL A PUDENZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001059

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

A

Last Name

PUDENZ

Business Name

MICHAEL A PUDENZ MD

Original Issue Date

06/16/2015

Effective Date

06/16/2015

Expiration Date

12/15/2015

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

08/10/2018