BRENTON PATRICK RUOPP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRENTON

Middle

PATRICK

Last Name

RUOPP

Business Name

BRENTON PATRICK RUOPP DDS

Original Issue Date

02/11/2021

Effective Date

02/11/2021

Expiration Date

01/31/2022

City

GLEN CARBON

State

Zip

62034

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022