TIPU S PURI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

TIPU

Middle

Last Name

PURI

Business Name

TIPU S PURI

Original Issue Date

10/01/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023