JUSTIN M BONVALLET DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027531

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

BONVALLET

Suffix

DMD

Business Name

JUSTIN M BONVALLET DMD

Original Issue Date

10/16/2007

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

06/12/2024