BRUCE MICHAEL REUBEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000122

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

MICHAEL

Last Name

REUBEN

Suffix

DDS

Business Name

BRUCE MICHAEL REUBEN DDS

Original Issue Date

01/01/1998

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/31/2018