ALYSSA BREANNE BAUMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017218

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

BREANNE

Last Name

BAUMAN

Business Name

ALYSSA BREANNE BAUMAN

Original Issue Date

06/02/2021

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2024