CARLEY A PUTNAM - Physician Assistant License in Illinois | # 085006432

CARLEY A PUTNAM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006432

License Status

NOT RENEWED

Business

N

First Name

CARLEY

Middle

A

Last Name

PUTNAM

Business Name

CARLEY A PUTNAM

Original Issue Date

10/30/2017

Effective Date

02/20/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020