MARK DALTON BOLLAERT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015530

License Status

ACTIVE

Business

First Name

MARK

Middle

DALTON

Last Name

BOLLAERT

Suffix

DDS

Business Name

MARK DALTON BOLLAERT DDS

Original Issue Date

07/13/1976

Effective Date

07/19/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/19/2024

Case Number

1987000110

Action

Probation

Discipline Start Date

03/01/1991

Discipline End Date

03/01/1996

Discipline Reason

Submitted inaccurate billings to John Deere and Company, through their employee insurance plan.