MATTHEW BOLLAERT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

Title

DMD

First Name

MATTHEW

Last Name

BOLLAERT

Business Name

MATTHEW BOLLAERT DMD

Original Issue Date

08/27/2022

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024