MICHAEL SCOTT PUTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140859

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

SCOTT

Last Name

PUTMAN

Business Name

MICHAEL SCOTT PUTMAN MD

Original Issue Date

06/08/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021