GINA ELIZABETH BRUCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025631

License Status

ACTIVE

Business

First Name

GINA

Middle

ELIZABETH

Last Name

BRUCK

Business Name

GINA ELIZABETH BRUCK

Original Issue Date

08/02/2001

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

SHOREWOOD

State

Zip

60404

Ever Disciplined

LastModifiedDate

06/04/2024