BRUCE EVANS UNTERMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

BRUCE EVANS

Last Name

UNTERMAN

Suffix

DDS

Business Name

BRUCE EVANS UNTERMAN DDS

Original Issue Date

12/08/1986

Effective Date

08/05/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018