JOACHIM O BAUER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

JOACHIM

Middle

Last Name

BAUER

Suffix

DDS

Business Name

JOACHIM O BAUER DDS

Original Issue Date

05/02/1985

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009