ALLEN JAYWAN BAI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031382

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALLEN

Middle

JAYWAN

Last Name

BAI

Business Name

ALLEN JAYWAN BAI DDS

Original Issue Date

08/28/2017

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/09/2022