JEFFREY R PUA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

PUA

Suffix

Business Name

JEFFREY R PUA MD

Original Issue Date

03/08/2010

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023