MARIE ANNE DE PUEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001976

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARIE

Middle

ANNE

Last Name

DE PUEY

Business Name

MARIE ANNE DE PUEY DDS

Original Issue Date

11/30/2015

Effective Date

11/30/2015

Expiration Date

11/30/2016

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/09/2017