BRIAN DAVID BAPTIST DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

First Name

BRIAN

Middle

DAVID

Last Name

BAPTIST DDS

Business Name

BRIAN DAVID BAPTIST DDS

Original Issue Date

09/24/2009

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2024