BRUCE A MASSING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

MASSING

Business Name

BRUCE A MASSING

Original Issue Date

12/11/1990

Effective Date

12/11/1990

Expiration Date

09/30/1998

City

NEWMAN

State

Zip

61942

County

DOUGLAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005