PAUL ANTHONY BOBAK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

INACTIVE

Business

First Name

PAUL ANTHONY

Last Name

BOBAK

Suffix

DDS

Business Name

PAUL ANTHONY BOBAK DDS

Original Issue Date

01/01/1998

Effective Date

06/20/2018

Expiration Date

12/31/2021

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/22/2021