MATTHEW JAMES PUTTY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067801

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

JAMES

Last Name

PUTTY

Business Name

MATTHEW JAMES PUTTY DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

10/25/2018