BEVERLEY A BAKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007138

License Status

NOT RENEWED

Business

First Name

BEVERLEY A

Last Name

BAKER

Business Name

BEVERLEY A BAKER

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

09/30/1998

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/12/2005