TIMOTHY D PUTNAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

TIMOTHY D

Last Name

PUTNAM

Suffix

Business Name

TIMOTHY D PUTNAM MD

Original Issue Date

01/01/1997

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023