BRUCE L DOUGLAS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001391

License Status

INACTIVE

Business

First Name

BRUCE L

Last Name

DOUGLAS

Suffix

DDS

Business Name

BRUCE L DOUGLAS DDS

Original Issue Date

08/17/1988

Effective Date

10/13/2009

Expiration Date

09/30/2012

City

RIVERWOODS

State

Zip

60015

County

LAKE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

06/06/2012