MICHELLE R BAKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013777

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

BAKER

Business Name

MICHELLE R BAKER

Original Issue Date

08/30/2011

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/31/2018