MATTHEW JAMES BRUKSCH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000864

License Status

ACTIVE

Business

Title

DDS

First Name

MATTHEW

Middle

JAMES

Last Name

BRUKSCH

Business Name

MATTHEW JAMES BRUKSCH DDS

Original Issue Date

04/17/2013

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/06/2024