AUSTIN JOHN BOLANO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002314

License Status

ACTIVE

Business

Title

DMD

First Name

AUSTIN

Middle

JOHN

Last Name

BOLANO

Business Name

AUSTIN JOHN BOLANO DMD

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

06/25/2025