JASON F BAKER DDS - Dentist License in Illinois | # 019026531

JASON F BAKER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026531

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

F

Last Name

BAKER

Suffix

DDS

Business Name

JASON F BAKER DDS

Original Issue Date

07/29/2004

Effective Date

09/30/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012