PAUL ALLEN BRUGGEMAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014532

License Status

INACTIVE

Business

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

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2021