WILLIAM TODD BOLLAERT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

WILLIAM TODD

Last Name

BOLLAERT

Suffix

DDS

Business Name

WILLIAM TODD BOLLAERT DDS

Original Issue Date

01/01/1998

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016