License holder summary

TERESA L PUCKETT is a Medical Board - 33.Lmt N R Group licensed to practice in Ohio. The address on file for TERESA L PUCKETT is 2169 Northern Drive, Beavercreek, OH 45431. This licensed professional license is not current. The license was granted 07/20/1983 and expired on 04/01/2012.

Ohio

Board of Licensing

TERESA L PUCKETT
Medical Board - 33.Lmt N R Group
License number
33.004302-N-R
Date granted
07/20/1983
Date expires
04/01/2012
Class
Medical Board - 33.Lmt N R Group
Status
Inactive
Address
2169 Northern Drive, Beavercreek, OH 45431
ohiolicensing.org
ID 28508472
LAST UPDATED 2024-03-03 08:11:20 UTC

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