JACLYN L BOHLEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014199

License Status

ACTIVE

Business

First Name

JACLYN

Middle

Last Name

BOHLEN

Business Name

JACLYN L BOHLEN

Original Issue Date

10/23/2012

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/28/2024