ELLEN CLEARY BOLLMEIER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

Title

DMD

First Name

ELLEN

Middle

CLEARY

Last Name

BOLLMEIER

Business Name

ELLEN CLEARY BOLLMEIER DMD

Original Issue Date

12/20/2010

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024