SARA E PUTNAM DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

Title

DPM

First Name

SARA

Middle

Last Name

PUTNAM

Business Name

SARA E PUTNAM DPM

Original Issue Date

07/13/2020

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023