MARK R BOECHE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000239

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

BOECHE

Business Name

MARK R BOECHE

Original Issue Date

12/08/2018

Effective Date

04/30/2025

Expiration Date

09/30/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/15/2025