FREDERIC A PUGLIANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

FREDERIC A

Last Name

PUGLIANO

Suffix

Business Name

FREDERIC A PUGLIANO MD

Original Issue Date

03/21/1996

Effective Date

03/21/1996

Expiration Date

07/31/1999

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011