MATTHEW JAMES BRUKSCH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DDS

First Name

MATTHEW

Middle

JAMES

Last Name

BRUKSCH

Business Name

MATTHEW JAMES BRUKSCH DDS

Original Issue Date

05/12/2009

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024