BRUCE WILLIAM THACKREY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

Title

DMD

First Name

BRUCE

Middle

WILLIAM

Last Name

THACKREY

Business Name

BRUCE WILLIAM THACKREY DMD

Original Issue Date

01/01/1998

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2024