KEVIN MICHAEL BAKER 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

KEVIN MICHAEL

Last Name

BAKER

Suffix

DDS

Business Name

KEVIN MICHAEL BAKER DDS

Original Issue Date

03/23/1987

Effective Date

07/08/2015

Expiration Date

09/30/2018

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018