DANIEL EARL BOLAND DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

Title

DMD

First Name

DANIEL

Middle

EARL

Last Name

BOLAND

Business Name

DANIEL EARL BOLAND DMD

Original Issue Date

12/07/2021

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2024