LISA K BALDWIN Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

CANCELLED

Business

First Name

LISA

Middle

Last Name

BALDWIN

Business Name

LISA K BALDWIN

Original Issue Date

06/05/2007

Effective Date

06/05/2007

Expiration Date

09/30/2009

City

BRIGHTON

State

Zip

80601

County

ADAMS

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009