CAROLYN R BAYNE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014316

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

BAYNE

Business Name

CAROLYN R BAYNE

Original Issue Date

07/10/2013

Effective Date

08/11/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/31/2018