MAXIME GREGORY BOUVAGNET DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

Title

DMD

First Name

MAXIME

Middle

GREGORY

Last Name

BOUVAGNET

Business Name

MAXIME GREGORY BOUVAGNET DMD

Original Issue Date

02/15/2025

Effective Date

02/15/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025