MAXIME GREGORY BOUVAGNET DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034281

License Status

ACTIVE

Business

Title

DMD

First Name

MAXIME

Middle

GREGORY

Last Name

BOUVAGNET

Business Name

MAXIME GREGORY BOUVAGNET DMD

Original Issue Date

05/30/2023

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2024