HAROLD ROBERT BAYNE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

HAROLD ROBERT

Last Name

BAYNE

Suffix

DDS

Business Name

HAROLD ROBERT BAYNE DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005