DWAYNE RAYMAN BACCHUS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

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

12/08/2021

Expiration Date

09/30/2024

City

ST CLOUD

State

Zip

34772

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025