CHRISTINE MARIE PUIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

PUIG

Suffix

Business Name

CHRISTINE MARIE PUIG MD

Original Issue Date

03/16/1999

Effective Date

03/16/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006