MARK TERENCE PUA MUJER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

MARK TERENCE

Middle

PUA

Last Name

MUJER

Business Name

MARK TERENCE PUA MUJER MD

Original Issue Date

04/29/2021

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023