CERISSA R BAUER DDS - Dentist License in Illinois | # 019026474

CERISSA R BAUER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026474

License Status

NOT RENEWED

Business

N

First Name

CERISSA

Middle

R

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/25/2010