BRUCE JOHN BOBOFCHAK DDS - Dentist License in Illinois | # 137000172

BRUCE JOHN BOBOFCHAK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000172

License Status

NOT RENEWED

Business

N

First Name

BRUCE JOHN

Last Name

BOBOFCHAK

Suffix

DDS

Business Name

BRUCE JOHN BOBOFCHAK DDS

Original Issue Date

01/01/1998

Effective Date

06/28/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

02/08/2016