License holder summary

MARK AMBROSE PUTNAM is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for MARK AMBROSE PUTNAM is 716 N PARK RD Wyomissing PA 19610. This licensed professional license is current. The license was granted 11/04/2002.

Pennsylvania

Department of State

MARK AMBROSE PUTNAM
Medicine - Written Agreement
License number
MX001127
Date granted
11/04/2002
Class
Medicine - Written Agreement
Status
Active
Address
716 N PARK RD Wyomissing PA 19610
palicensing.org
ID 16666594
LAST UPDATED 2024-02-27 01:25:19 UTC

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