BRIAN DAVID BAPTIST DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028056

License Status

ACTIVE

Business

First Name

BRIAN

Middle

DAVID

Last Name

BAPTIST DDS

Business Name

BRIAN DAVID BAPTIST DDS

Original Issue Date

06/29/2009

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

CHICAGO RIDGE

State

Zip

60415

Ever Disciplined

LastModifiedDate

05/28/2024