PAUL ALLEN BRUGGEMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

PAUL ALLEN

Last Name

BRUGGEMAN

Suffix

DDS

Business Name

PAUL ALLEN BRUGGEMAN DDS

Original Issue Date

01/01/1998

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022