CRYSTAL SEUNGEUN BAIK DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001399

License Status

EXPIRED

Business

First Name

CRYSTAL

Middle

SEUNGEUN

Last Name

BAIK

Suffix

DDS

Business Name

CRYSTAL SEUNGEUN BAIK DDS

Original Issue Date

06/04/2003

Effective Date

06/04/2003

Expiration Date

06/30/2004

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005