JEFFREY V BURCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

BURCH

Suffix

DMD

Business Name

JEFFREY V BURCH DMD

Original Issue Date

09/04/2019

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

08/13/2024