PAUL ALLEN BRUGGEMAN DDS - Dentist License in Illinois | # 019014532

PAUL ALLEN BRUGGEMAN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014532

License Status

INACTIVE

Business

N

First Name

PAUL ALLEN

Last Name

BRUGGEMAN

Suffix

DDS

Business Name

PAUL ALLEN BRUGGEMAN DDS

Original Issue Date

07/11/1973

Effective Date

06/13/2018

Expiration Date

12/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2021