TRACY A BAINE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007268

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

BAINE

Business Name

TRACY A BAINE

Original Issue Date

07/31/1990

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/31/2025