BRUCE JOHN BOBOFCHAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

BRUCE JOHN

Last Name

BOBOFCHAK

Suffix

DDS

Business Name

BRUCE JOHN BOBOFCHAK DDS

Original Issue Date

12/04/1992

Effective Date

06/28/2012

Expiration Date

09/30/2015

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016