A card distribution and sanitization apparatus, such as a dealing shoe, may use ultraviolet light to sanitize the surface of playing cards. The ultraviolet light may be directed to an outlet and/or interior cavity of the card distribution and sanitization apparatus and may be configured to emit light in the 200 nm to 290 nm wavelength range. An enclosure of the card distribution and sanitization apparatus may be coupled to ultraviolet light-emitters and may be configured to hold the playing cards and the ultraviolet light-emitters. An associated controller may control operations of the card distribution and sanitization apparatus.