BRUCE A MASSING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

MASSING

Business Name

BRUCE A MASSING

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

09/30/1996

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005