WILLIE J RUCKER - Dentist License in Illinois | # 137000299

WILLIE J RUCKER

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000299

License Status

ACTIVE

Business

N

First Name

WILLIE

Middle

J

Last Name

RUCKER

Business Name

WILLIE J RUCKER

Original Issue Date

10/08/1991

Effective Date

09/22/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

09/22/2024