DARRYL ARTHUR PUTZER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063962

License Status

EXPIRED

Business

Title

First Name

DARRYL

Middle

ARTHUR

Last Name

PUTZER

Business Name

DARRYL ARTHUR PUTZER MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/16/2016