RUTGER W STACHE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

Title

DMD

First Name

RUTGER

Middle

Last Name

STACHE

Business Name

RUTGER W STACHE DMD

Original Issue Date

06/30/2016

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024