JENNA MICHAELS PUTZEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

JENNA

Middle

MICHAELS

Last Name

PUTZEL

Business Name

JENNA MICHAELS PUTZEL MD

Original Issue Date

12/12/2022

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023