RALPH HENRY BAAHLMANN Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

INOPERATIVE

Business

First Name

RALPH HENRY

Last Name

BAAHLMANN

Business Name

RALPH HENRY BAAHLMANN

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005