Debra Marie Puckett
ExpiredIllinois license 020001713
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001713
- Status
- Expired (Not Renewed)
- First issued
- July 12, 1972
- Expired
- January 31, 2022
- License holder
- Debra Marie Puckett
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/26/2018
Contact
Loves Park, IL 61111
Winnebago County