LISA MARIE BOLAND DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024495

License Status

NOT RENEWED

Business

First Name

LISA MARIE

Last Name

BOLAND

Suffix

DMD

Business Name

LISA MARIE BOLAND DMD

Original Issue Date

07/24/1997

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/08/2006