AMAR J PERURI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

AMAR

Middle

Last Name

PERURI

Business Name

AMAR J PERURI

Original Issue Date

04/11/2007

Effective Date

07/24/2013

Expiration Date

07/31/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020