WILLIAM D PUTMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

WILLIAM D

Last Name

PUTMAN

Suffix

Business Name

WILLIAM D PUTMAN MD

Original Issue Date

09/30/1986

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023