JEFFREY V BURCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000676

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

BURCH

Suffix

DMD

Business Name

JEFFREY V BURCH DMD

Original Issue Date

06/28/2006

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

06/18/2024