R TODD KRUEGER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

R TODD

Last Name

KRUEGER

Suffix

DMD

Business Name

R TODD KRUEGER DMD

Original Issue Date

01/29/1996

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024