KIMBERLEY M H BOLDEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019099

License Status

ACTIVE

Business

First Name

KIMBERLEY

Middle

M H

Last Name

BOLDEN

Business Name

KIMBERLEY M H BOLDEN

Original Issue Date

08/02/1984

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

Ever Disciplined

LastModifiedDate

05/02/2024

Case Number

1988002312

Action

Probation

Discipline Start Date

09/21/1989

Discipline End Date

10/17/2003