JASON F BAKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

BAKER

Suffix

DDS

Business Name

JASON F BAKER DDS

Original Issue Date

09/08/2004

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012