AARON ROY RUCKER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

Title

DMD

First Name

AARON

Middle

ROY

Last Name

RUCKER

Business Name

AARON ROY RUCKER DMD

Original Issue Date

07/25/2013

Effective Date

12/24/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025