BRUCE F BECKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

BRUCE F

Last Name

BECKER

Business Name

BRUCE F BECKER

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

09/30/1996

City

LANSING

State

Zip

60438

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005