ROBERT F BAIMA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

ROBERT F

Last Name

BAIMA

Business Name

ROBERT F BAIMA

Original Issue Date

09/13/1999

Effective Date

09/13/1999

Expiration Date

09/30/2000

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005