GINA BAE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

Title

DDS

First Name

GINA

Last Name

BAE

Business Name

GINA BAE DDS

Original Issue Date

06/03/2022

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60004

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024