BRYAN C BOUCHELION DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000552

License Status

ACTIVE

Business

Title

DDS

First Name

BRYAN

Middle

Last Name

BOUCHELION

Business Name

BRYAN C BOUCHELION DDS

Original Issue Date

04/19/2002

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

09/27/2024