WYNIFRED A BAX - Dentist License in Illinois | # 020001290

WYNIFRED A BAX

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001290

License Status

NOT RENEWED

Business

N

First Name

WYNIFRED A

Last Name

BAX

Business Name

WYNIFRED A BAX

Original Issue Date

07/07/1970

Effective Date

07/07/1970

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005