DEBRA MARIE PUCKETT - Dentist License in Illinois | # 020001713

DEBRA MARIE PUCKETT

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001713

License Status

NOT RENEWED

Business

N

First Name

DEBRA MARIE

Last Name

PUCKETT

Business Name

DEBRA MARIE PUCKETT

Original Issue Date

07/12/1972

Effective Date

09/26/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022