MARY MARGARET PUTTMANN-KOSTECKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

MARGARET

Last Name

PUTTMANN-KOSTECKA

Business Name

MARY MARGARET PUTTMANN-KOSTECKA MD

Original Issue Date

05/20/2013

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017