NEAL GEORGE PUTHUMANA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

NEAL

Middle

GEORGE

Last Name

PUTHUMANA

Suffix

Business Name

NEAL GEORGE PUTHUMANA MD

Original Issue Date

01/24/2019

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023