SERGIO BARON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

SERGIO

Last Name

BARON

Business Name

SERGIO BARON

Original Issue Date

07/19/2022

Effective Date

07/19/2022

Expiration Date

09/30/2024

City

NEW PORT RICHEY

State

Zip

34655

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025