PHILIP R BAYNE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022740

License Status

INACTIVE

Business

First Name

PHILIP R

Last Name

BAYNE

Suffix

DDS

Business Name

PHILIP R BAYNE DDS

Original Issue Date

12/27/1991

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BLUE GRASS

State

Zip

52726

Ever Disciplined

LastModifiedDate

06/04/2009