GEOFFREY R BAUMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003212

License Status

NOT RENEWED

Business

First Name

GEOFFREY R

Last Name

BAUMAN

Business Name

GEOFFREY R BAUMAN

Original Issue Date

07/08/1977

Effective Date

07/08/1977

Expiration Date

09/30/1984

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005