D GREGG BAKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018743

License Status

NOT RENEWED

Business

First Name

D GREGG

Last Name

BAKER

Suffix

DDS

Business Name

D GREGG BAKER DDS

Original Issue Date

08/02/1983

Effective Date

08/02/1983

Expiration Date

09/30/2000

City

IDAHO FALLS

State

Zip

83401

County

IDAHO

Ever Disciplined

LastModifiedDate

10/17/2005