AMITAB KANWAR G PURI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

AMITAB KANWAR G

Last Name

PURI

Business Name

AMITAB KANWAR G PURI

Original Issue Date

04/27/1994

Effective Date

04/27/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006