SARAH CHRISTINA PUZEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

CHRISTINA

Last Name

PUZEY

Business Name

SARAH CHRISTINA PUZEY

Original Issue Date

12/03/2008

Effective Date

04/22/2013

Expiration Date

09/30/2015

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016