KIMBERLY ANNE BAPTIST DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002941

License Status

ACTIVE

Business

Title

DMD

First Name

KIMBERLY

Middle

ANNE

Last Name

BAPTIST

Business Name

KIMBERLY ANNE BAPTIST DMD

Original Issue Date

04/12/2019

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

LastModifiedDate

05/02/2024