BRIAN J BOLLAERT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018169

License Status

INACTIVE

Business

First Name

BRIAN J

Last Name

BOLLAERT

Business Name

BRIAN J BOLLAERT

Original Issue Date

07/16/1982

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/07/2018