MARK A BRUCE 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

MARK

Middle

Last Name

BRUCE

Suffix

DMD

Business Name

MARK A BRUCE DMD

Original Issue Date

08/21/2000

Effective Date

05/17/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2024