WILLIAM TODD BOLLAERT DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017067

License Status

INACTIVE

Business

First Name

WILLIAM TODD

Last Name

BOLLAERT

Suffix

DDS

Business Name

WILLIAM TODD BOLLAERT DDS

Original Issue Date

02/19/1980

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/08/2015