DONNA J BOUNDY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

BOUNDY

Suffix

DMD

Business Name

DONNA J BOUNDY DMD

Original Issue Date

11/05/1996

Effective Date

06/29/2015

Expiration Date

09/30/2018

City

GIBSON CITY

State

Zip

60936

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018