ROY PUTNAM JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079940

License Status

EXPIRED

Business

Title

First Name

ROY

Last Name

PUTNAM JR

Business Name

ROY PUTNAM JR DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

OLYMPIA FIELDS

State

Zip

60461

Specialty/Qualifier

Critical Care Medicine

Ever Disciplined

LastModifiedDate

10/30/2024