DAVID RANDALL BRUCE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

DAVID RANDALL

Last Name

BRUCE

Business Name

DAVID RANDALL BRUCE

Original Issue Date

06/12/1985

Effective Date

06/12/1985

Expiration Date

09/30/1986

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005