JASON F BAKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026531

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

BAKER

Suffix

DDS

Business Name

JASON F BAKER DDS

Original Issue Date

07/29/2004

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012