MICHAEL ROBERT RUFFATTO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

ROBERT

Last Name

RUFFATTO

Suffix

DMD

Business Name

MICHAEL ROBERT RUFFATTO DMD

Original Issue Date

07/30/2007

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/01/2024