JEFFREY V BURCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

BURCH

Suffix

DMD

Business Name

JEFFREY V BURCH DMD

Original Issue Date

10/20/2003

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2024