NICHOLAS EDWARD BAKER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027687

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

EDWARD

Last Name

BAKER

Suffix

DMD

Business Name

NICHOLAS EDWARD BAKER DMD

Original Issue Date

06/12/2008

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2024