AARON ROY RUCKER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000954

License Status

NOT RENEWED

Business

Title

DMD

First Name

AARON

Middle

ROY

Last Name

RUCKER

Business Name

AARON ROY RUCKER DMD

Original Issue Date

06/09/2016

Effective Date

06/09/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/31/2018