JAMES TYLER PUTMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083018

License Status

INACTIVE

Business

First Name

JAMES

Middle

TYLER

Last Name

PUTMAN

Suffix

Business Name

JAMES TYLER PUTMAN MD

Original Issue Date

07/17/1991

Effective Date

07/17/1991

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

08/21/2009