KEVIN MICHAEL BRUGGEMAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

BRUGGEMAN

Suffix

DDS

Business Name

KEVIN MICHAEL BRUGGEMAN DDS

Original Issue Date

09/01/2000

Effective Date

07/24/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2024