ANNA M BONVALLET DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027530

License Status

ACTIVE

Business

First Name

ANNA

Middle

Last Name

BONVALLET

Suffix

DMD

Business Name

ANNA M BONVALLET DMD

Original Issue Date

10/16/2007

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

PECATONICA

State

Zip

61063

County

OGLE

Ever Disciplined

LastModifiedDate

06/12/2024