CHRISTOPHER SCOTT PUGEDA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

SCOTT

Last Name

PUGEDA

Suffix

DMD

Business Name

CHRISTOPHER SCOTT PUGEDA DMD

Original Issue Date

09/01/2000

Effective Date

09/01/2000

Expiration Date

09/30/2006

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006