INGRID MARIA BAUER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

INGRID MARIA

Last Name

BAUER

Suffix

DMD

Business Name

INGRID MARIA BAUER DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005