KELLEN N BOSMA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029540

License Status

ACTIVE

Business

Title

DMD

First Name

KELLEN

Middle

Last Name

BOSMA

Business Name

KELLEN N BOSMA DMD

Original Issue Date

07/12/2013

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

09/30/2024