ANTHONY A BRUCCI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

ANTHONY A

Last Name

BRUCCI

Suffix

DMD

Business Name

ANTHONY A BRUCCI DMD

Original Issue Date

10/05/2007

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016