BRENTON PATRICK RUOPP DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DDS

First Name

BRENTON

Middle

PATRICK

Last Name

RUOPP

Business Name

BRENTON PATRICK RUOPP DDS

Original Issue Date

06/24/2022

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024