WILLIE J RUCKER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

First Name

WILLIE

Middle

Last Name

RUCKER

Business Name

WILLIE J RUCKER

Original Issue Date

07/16/1986

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2024