JOHN ANDREW BUKOVAC DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

JOHN

Middle

ANDREW

Last Name

BUKOVAC

Suffix

DMD

Business Name

JOHN ANDREW BUKOVAC DMD

Original Issue Date

08/25/2003

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024