JONATHAN S BAILEY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000528

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

Last Name

BAILEY

Suffix

DMD

Business Name

JONATHAN S BAILEY DMD

Original Issue Date

08/16/2001

Effective Date

06/07/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/07/2024