BRYAN C BOUCHELION DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025692

License Status

ACTIVE

Business

Title

DDS

First Name

BRYAN

Middle

Last Name

BOUCHELION

Business Name

BRYAN C BOUCHELION DDS

Original Issue Date

10/10/2001

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2024