Mark L Bailen
InactiveIllinois license 019020986
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019020986
- Status
- Inactive
- First issued
- December 15, 1987
- Expired
- September 30, 1992
- License holder
- Mark L Bailen
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 12/15/1987
Contact
Marston Mills, MA 02648
Massachusetts County