STEPHEN K BAILIE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020364

License Status

INACTIVE

Business

First Name

STEPHEN K

Last Name

BAILIE

Business Name

STEPHEN K BAILIE

Original Issue Date

10/01/1986

Effective Date

10/01/1986

Expiration Date

09/30/1992

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005