PACITA M PUMILIA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

PACITA M

Last Name

PUMILIA

Suffix

DDS

Business Name

PACITA M PUMILIA DDS

Original Issue Date

12/28/1989

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/24/2024