SAMUEL GRADY PUTNAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172182

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

GRADY

Last Name

PUTNAM

Business Name

SAMUEL GRADY PUTNAM MD

Original Issue Date

09/29/2024

Effective Date

09/29/2024

Expiration Date

07/31/2026

City

MEMPHIS

State

Zip

38103

County

SHELBY

Ever Disciplined

LastModifiedDate

09/29/2024