HOLLY MARIE BUSBOOM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010980

License Status

ACTIVE

Business

First Name

HOLLY

Middle

MARIE

Last Name

BUSBOOM

Business Name

HOLLY MARIE BUSBOOM

Original Issue Date

06/22/2004

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

LUDLOW

State

Zip

60949

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/09/2024