KEVIN A BRUCKER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

First Name

KEVIN A

Last Name

BRUCKER

Suffix

DMD

Business Name

KEVIN A BRUCKER DMD

Original Issue Date

05/18/1994

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

GIBSON CITY

State

Zip

60936

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024