BRYAN ALAN BAUER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

First Name

BRYAN

Middle

ALAN

Last Name

BAUER

Suffix

DDS

Business Name

BRYAN ALAN BAUER DDS

Original Issue Date

07/15/2004

Effective Date

06/05/2024

Expiration Date

09/30/2027

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2024