CERISSA R BAUER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

CERISSA

Middle

Last Name

BAUER

Suffix

DDS

Business Name

CERISSA R BAUER DDS

Original Issue Date

12/08/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2010