JAMES TYLER PUTMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

CANCELLED

Business

First Name

JAMES

Middle

TYLER

Last Name

PUTMAN

Suffix

Business Name

JAMES TYLER PUTMAN MD

Original Issue Date

08/21/1991

Effective Date

08/21/1991

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006