BRUCE E MASON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

BRUCE E

Last Name

MASON

Suffix

DMD

Business Name

BRUCE E MASON DMD

Original Issue Date

07/13/1987

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025