Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****43

NOT RENEWED

N

DDS

BRYAN

C

BOUCHELION

BRYAN C BOUCHELION DDS

02/04/2005

02/04/2005

09/30/2006

OAK BROOK

IL

60523

DUPAGE

II III IV V

N

11/08/2006