NANCY L PUTNAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012293

License Status

EXPIRED

Business

First Name

NANCY L

Last Name

PUTNAM

Suffix

Business Name

NANCY L PUTNAM MD

Original Issue Date

04/23/1981

Effective Date

04/23/1981

Expiration Date

04/27/1983

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006