JAMES EDWARD PUKLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

JAMES EDWARD

Last Name

PUKLIN

Suffix

Business Name

JAMES EDWARD PUKLIN MD

Original Issue Date

07/02/1986

Effective Date

07/02/1986

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006