STEVEN B BRUCKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

STEVEN B

Last Name

BRUCKI

Suffix

DDS

Business Name

STEVEN B BRUCKI DDS

Original Issue Date

06/21/1989

Effective Date

06/21/1989

Expiration Date

09/30/2000

City

WAUKEGAN

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005