BRUCE ALAN HILLEMEYER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRUCE

Middle

ALAN

Last Name

HILLEMEYER

Business Name

BRUCE ALAN HILLEMEYER DDS

Original Issue Date

09/25/1990

Effective Date

09/25/1990

Expiration Date

09/30/2006

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006