NEAL GEORGE PUTHUMANA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050506

License Status

EXPIRED

Business

First Name

NEAL

Middle

GEORGE

Last Name

PUTHUMANA

Suffix

Business Name

NEAL GEORGE PUTHUMANA MD

Original Issue Date

08/24/2005

Effective Date

08/24/2005

Expiration Date

08/23/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/05/2008