JAY EDWARD PURDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

JAY

Middle

EDWARD

Last Name

PURDY

Suffix

Business Name

JAY EDWARD PURDY MD

Original Issue Date

10/18/2005

Effective Date

10/18/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008