BRUCE EVANS UNTERMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

BRUCE EVANS

Last Name

UNTERMAN

Suffix

DDS

Business Name

BRUCE EVANS UNTERMAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005