BRYAN C BOUCHELION DDS - Dentist License in Illinois | # 137000552

BRYAN C BOUCHELION DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000552

License Status

ACTIVE

Business

N

Title

DDS

First Name

BRYAN

Middle

C

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

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

09/27/2024