BRUCE WALDO SHRIVER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013207

License Status

INACTIVE

Business

First Name

BRUCE

Middle

WALDO

Last Name

SHRIVER

Suffix

DDS

Business Name

BRUCE WALDO SHRIVER DDS

Original Issue Date

07/20/1967

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

06/08/2015

Case Number

2007004109

Action

Reprimand

Discipline Start Date

05/14/2008

Discipline Reason

Failure to diagnose recurrent decay and failure to maintain proper records.