DOUGLAS JAMES BAKER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

DOUGLAS JAMES

Last Name

BAKER

Suffix

DDS

Business Name

DOUGLAS JAMES BAKER DDS

Original Issue Date

07/10/1995

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024