CERISSA R BAUER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026474

License Status

NOT RENEWED

Business

First Name

CERISSA

Middle

Last Name

BAUER

Suffix

DDS

Business Name

CERISSA R BAUER DDS

Original Issue Date

06/23/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

02/25/2010