FREDERIC A PUGLIANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

FREDERIC A

Last Name

PUGLIANO

Suffix

Business Name

FREDERIC A PUGLIANO MD

Original Issue Date

02/19/2002

Effective Date

02/19/2002

Expiration Date

07/31/2005

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011