CARLA MARIE PUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110285

License Status

NOT RENEWED

Business

Title

First Name

CARLA

Middle

MARIE

Last Name

PUGH

Business Name

CARLA MARIE PUGH MD

Original Issue Date

10/14/2003

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

MADISON

State

Zip

53792

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017