MARTIN D BOUR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

MARTIN D

Last Name

BOUR

Business Name

MARTIN D BOUR

Original Issue Date

04/15/1986

Effective Date

05/27/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2024