TONI M ROUCKA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

Title

DDS

First Name

TONI

Middle

Last Name

ROUCKA

Business Name

TONI M ROUCKA DDS

Original Issue Date

10/09/1990

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024