CHRISTIAN DANIEL BOLIERE Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001908

License Status

EXPIRED

Business

First Name

CHRISTIAN

Middle

DANIEL

Last Name

BOLIERE

Business Name

CHRISTIAN DANIEL BOLIERE

Original Issue Date

06/12/2014

Effective Date

04/06/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/25/2018