PACITA M PUMILIA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006307

License Status

NOT RENEWED

Business

First Name

PACITA M

Last Name

PUMILIA

Suffix

DDS

Business Name

PACITA M PUMILIA DDS

Original Issue Date

11/13/1986

Effective Date

11/13/1986

Expiration Date

09/30/1990

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1994002510

Action

Refuse To Renew

Discipline Start Date

07/07/1994

Discipline End Date

10/24/1994

Discipline Reason

Defaulted on an Illinois Student Assistance loan.