JEFFREY R PUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

PUA

Suffix

Business Name

JEFFREY R PUA MD

Original Issue Date

07/29/2008

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021