MARIA SEUNTJENS BAISIER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014726

License Status

NOT RENEWED

Business

First Name

MARIA SEUNTJENS

Last Name

BAISIER

Suffix

DDS

Business Name

MARIA SEUNTJENS BAISIER DDS

Original Issue Date

12/17/1973

Effective Date

12/17/1973

Expiration Date

09/30/1994

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005