Amy Puderbaugh Do
InactiveIllinois license 036166711
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036166711
- Status
- Inactive (Relinquish)
- First issued
- August 24, 2023
- Expired
- August 31, 2026
- License holder
- Amy Puderbaugh
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 08/24/2023
- Ever disciplined
- Yes
- Discipline case
- 2023011172
- Discipline action
- Surrender (Relinquish)
- Discipline reason
- physician and surgeon license indefinitely surrendered for a minimum of one year due to failure to disclose May 2022 DEA Surrender on her April 2023 application for Illinois licensure.
- Discipline dates
- 12/05/2024
Contact
Springfield, MO 65807