LISA MARIE BAINES DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027407

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

BAINES

Suffix

DMD

Business Name

LISA MARIE BAINES DMD

Original Issue Date

06/12/2007

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2024