PHIL N RUCKMAN III Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001826

License Status

NOT RENEWED

Business

First Name

PHIL

Middle

Last Name

RUCKMAN III

Business Name

PHIL N RUCKMAN III

Original Issue Date

01/19/2012

Effective Date

01/19/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2016