DEBRA BOLEN MORRISSETTE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

DEBRA BOLEN

Last Name

MORRISSETTE

Business Name

DEBRA BOLEN MORRISSETTE

Original Issue Date

12/19/1983

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024