MAXIME GREGORY BOUVAGNET DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

Title

DMD

First Name

MAXIME

Middle

GREGORY

Last Name

BOUVAGNET

Business Name

MAXIME GREGORY BOUVAGNET DMD

Original Issue Date

05/30/2023

Effective Date

05/30/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025