MELVIN ANTHONY BOULE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

MELVIN

Middle

ANTHONY

Last Name

BOULE

Suffix

DMD

Business Name

MELVIN ANTHONY BOULE DMD

Original Issue Date

12/29/2003

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

PLANO

State

Zip

60545

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024