RUSSELL A BAER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

First Name

RUSSELL A

Last Name

BAER

Business Name

RUSSELL A BAER

Original Issue Date

10/28/1985

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024