MARIA SEUNTJENS BAISIER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

MARIA SEUNTJENS

Last Name

BAISIER

Suffix

DDS

Business Name

MARIA SEUNTJENS BAISIER DDS

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

09/30/1994

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005