MICHAEL ANTHONY PUGNALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

PUGNALE

Business Name

MICHAEL ANTHONY PUGNALE MD

Original Issue Date

06/07/2017

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021