LYNDA MARIE PUCKETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001789

License Status

NOT RENEWED

Business

First Name

LYNDA MARIE

Last Name

PUCKETT

Business Name

LYNDA MARIE PUCKETT

Original Issue Date

07/13/1972

Effective Date

07/13/1972

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005