BRUCE R MATHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024473

License Status

NOT RENEWED

Business

First Name

BRUCE R

Last Name

MATHER

Suffix

DDS

Business Name

BRUCE R MATHER DDS

Original Issue Date

07/02/1997

Effective Date

07/02/1997

Expiration Date

09/30/1998

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005