CARLA JEAN BOUDREAU Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006723

License Status

ACTIVE

Business

First Name

CARLA JEAN

Last Name

BOUDREAU

Business Name

CARLA JEAN BOUDREAU

Original Issue Date

08/02/1988

Effective Date

05/11/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2024