MARY MARGARET PUTTMANN-KOSTECKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133006

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

MARGARET

Last Name

PUTTMANN-KOSTECKA

Business Name

MARY MARGARET PUTTMANN-KOSTECKA MD

Original Issue Date

05/20/2013

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017