BRUCE C TEIPEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

BRUCE C

Last Name

TEIPEL

Suffix

DDS

Business Name

BRUCE C TEIPEL DDS

Original Issue Date

01/01/1998

Effective Date

06/23/2009

Expiration Date

09/30/2012

City

LAKE VILLA

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012