SHANE D RUGGLESS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029024

License Status

ACTIVE

Business

Title

DMD

First Name

SHANE

Middle

Last Name

RUGGLESS

Business Name

SHANE D RUGGLESS DMD

Original Issue Date

06/05/2012

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/17/2024