VANI M BALDWIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

VANI

Middle

Last Name

BALDWIN

Suffix

DDS

Business Name

VANI M BALDWIN DDS

Original Issue Date

10/28/1999

Effective Date

10/28/1999

Expiration Date

09/30/2006

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006