D GREGG BAKER DDS - Dentist License in Idaho | # 019018743

D GREGG BAKER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018743

License Status

NOT RENEWED

Business

N

First Name

D GREGG

Last Name

BAKER

Suffix

DDS

Business Name

D GREGG BAKER DDS

Original Issue Date

08/02/1983

Effective Date

08/02/1983

Expiration Date

09/30/2000

State

ID

Ever Disciplined

N

LastModifiedDate

10/17/2005