BRUCE L DOUGLAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012376

License Status

NOT RENEWED

Business

First Name

BRUCE L

Last Name

DOUGLAS

Suffix

DDS

Business Name

BRUCE L DOUGLAS DDS

Original Issue Date

11/22/1963

Effective Date

10/02/2012

Expiration Date

09/30/2015

City

RIVERWOODS

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

02/08/2016