HAROLD ROBERT BAYNE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000148

License Status

NOT RENEWED

Business

First Name

HAROLD ROBERT

Last Name

BAYNE

Suffix

DDS

Business Name

HAROLD ROBERT BAYNE DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005