RYAN STUKENBERG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

Title

DMD

First Name

RYAN

Last Name

STUKENBERG

Business Name

RYAN STUKENBERG DMD

Original Issue Date

04/12/2021

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

BREESE

State

Zip

62230

County

CLINTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024