DOUGLAS W BAUGHMAN DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022140

License Status

INACTIVE

Business

First Name

DOUGLAS W

Last Name

BAUGHMAN

Suffix

DMD

Business Name

DOUGLAS W BAUGHMAN DMD

Original Issue Date

08/04/1990

Effective Date

08/04/1990

Expiration Date

09/30/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005