KATHLEEN E PUCA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139010

License Status

NOT RENEWED

Business

Title

First Name

KATHLEEN

Middle

Last Name

PUCA

Business Name

KATHLEEN E PUCA MD

Original Issue Date

08/25/2015

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021