DWAYNE RAYMAN BACCHUS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025296

License Status

ACTIVE

Business

First Name

DWAYNE

Middle

RAYMAN

Last Name

BACCHUS

Suffix

DDS

Business Name

DWAYNE RAYMAN BACCHUS DDS

Original Issue Date

06/26/2000

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

LAKEWOOD RANCH

State

Zip

34211

Ever Disciplined

LastModifiedDate

11/06/2024