MICHAEL ROBERT RUEN 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

MICHAEL

Middle

ROBERT

Last Name

RUEN

Suffix

DDS

Business Name

MICHAEL ROBERT RUEN DDS

Original Issue Date

03/29/2018

Effective Date

03/29/2018

Expiration Date

09/30/2018

City

YORKVILLE

State

Zip

60560

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/31/2018