DOUGLAS J VAN PUTTEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085547

License Status

ACTIVE

Business

First Name

DOUGLAS J

Last Name

VAN PUTTEN

Suffix

Business Name

DOUGLAS J VAN PUTTEN MD

Original Issue Date

10/27/1992

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

LOMA LINDA

State

Zip

92354

Ever Disciplined

LastModifiedDate

07/14/2023