DANIEL ANTHONY BACA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011064

License Status

NOT RENEWED

Business

First Name

DANIEL ANTHONY

Last Name

BACA

Suffix

DDS

Business Name

DANIEL ANTHONY BACA DDS

Original Issue Date

08/12/1957

Effective Date

08/12/1957

Expiration Date

09/30/1998

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/12/2005