GINA ELIZABETH BRUCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

GINA

Middle

ELIZABETH

Last Name

BRUCK

Business Name

GINA ELIZABETH BRUCK

Original Issue Date

08/27/2001

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

SHOREWOOD

State

Zip

60404

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2024