KATHERINE STEPHANIE PUTZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058955

License Status

EXPIRED

Business

Title

First Name

KATHERINE

Middle

STEPHANIE

Last Name

PUTZ

Business Name

KATHERINE STEPHANIE PUTZ MD

Original Issue Date

07/13/2010

Effective Date

07/13/2010

Expiration Date

07/12/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013