JEAN MAURICIO POUGET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

JEAN MAURICIO

Last Name

POUGET

Suffix

Business Name

JEAN MAURICIO POUGET MD

Original Issue Date

10/02/2008

Effective Date

10/02/2008

Expiration Date

07/31/2011

City

RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011