License holder summary

Willie James Rucker is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Willie James Rucker is United Dental Centers, 5655 Harrison Street, Merrillville IN 46410-2071. This licensed professional license is current. The license was granted 09/03/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Willie James Rucker
Controlled Substance Registration - Dentist
License number
12009827B
Date granted
09/03/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
United Dental Centers, 5655 Harrison Street, Merrillville IN 46410-2071
indianalicensing.org
ID 5111523
LAST UPDATED 2024-02-17 11:43:41 UTC

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