ABBY A PUTNAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

ACTIVE

Business

First Name

ABBY

Middle

Last Name

PUTNAM

Business Name

ABBY A PUTNAM

Original Issue Date

03/11/2005

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

GILSON

State

Zip

61436

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026