INGRID MARIA BAUER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015953

License Status

NOT RENEWED

Business

First Name

INGRID MARIA

Last Name

BAUER

Suffix

DMD

Business Name

INGRID MARIA BAUER DMD

Original Issue Date

06/27/1977

Effective Date

06/27/1977

Expiration Date

09/30/1988

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005