PETER S BAEK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

PETER S

Last Name

BAEK

Suffix

DDS

Business Name

PETER S BAEK DDS

Original Issue Date

05/02/1995

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024