NANCY L PUTNAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

NANCY L

Last Name

PUTNAM

Suffix

Business Name

NANCY L PUTNAM MD

Original Issue Date

10/15/1982

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021