DEBRA MARIE PUCKETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001713

License Status

NOT RENEWED

Business

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

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/09/2022