ABBY A PUTNAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

ABBY

Middle

Last Name

PUTNAM

Business Name

ABBY A PUTNAM

Original Issue Date

10/16/2018

Effective Date

08/24/2022

Expiration Date

06/30/2024

City

GILSON

State

Zip

61436

County

KNOX

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025