BRUCE JOHN BOBOFCHAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000172

License Status

NOT RENEWED

Business

First Name

BRUCE JOHN

Last Name

BOBOFCHAK

Suffix

DDS

Business Name

BRUCE JOHN BOBOFCHAK DDS

Original Issue Date

01/01/1998

Effective Date

06/28/2012

Expiration Date

09/30/2015

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

02/08/2016