BRUCE EVERETT HOCHSTADTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

BRUCE EVERETT

Last Name

HOCHSTADTER

Business Name

BRUCE EVERETT HOCHSTADTER

Original Issue Date

08/30/2019

Effective Date

08/30/2019

Expiration Date

01/31/2022

City

HIGHLAND PARK

State

Zip

60035

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022