License holder summary

PUCEK , KELLY DWAYNE is a Department Of Health - Medical Doctor licensed to practice in Tennessee. This medical licensee license is current. The license was granted 06/08/1998 and expired on 06/30/2018.

Department of Health

Board of Medical Examiners

PUCEK , KELLY DWAYNE
Department Of Health - Medical Doctor
License number
30606
Date granted
06/08/1998
Date expires
06/30/2018
Class
Department Of Health - Medical Doctor
Status
Licensed
Address
medicaltn.com
ID 42193900
LAST UPDATED 2024-03-23 12:21:04 UTC

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