HOLLY JANE BARTMAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

HOLLY

Middle

JANE

Last Name

BARTMAN

Suffix

DDS

Business Name

HOLLY JANE BARTMAN DDS

Original Issue Date

06/05/2007

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024