BRUCE L DOUGLAS DDS - Dentist License in Illinois | # 137000144

BRUCE L DOUGLAS DDS

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000144

License Status

INACTIVE

Business

N

First Name

BRUCE L

Last Name

DOUGLAS

Suffix

DDS

Business Name

BRUCE L DOUGLAS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/13/2005