DANIELLE N. LEWIS BAUER DDS - Dentist License in Illinois | # 018001622

DANIELLE N. LEWIS BAUER DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001622

License Status

EXPIRED

Business

N

First Name

DANIELLE

Middle

N. LEWIS

Last Name

BAUER

Suffix

DDS

Business Name

DANIELLE N. LEWIS BAUER DDS

Original Issue Date

05/16/2007

Effective Date

08/13/2007

Expiration Date

05/30/2010

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

06/02/2010