MARK RICHARD BARE DDS - Dentist License in Illinois | # 021000734

MARK RICHARD BARE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000734

License Status

NOT RENEWED

Business

N

First Name

MARK RICHARD

Last Name

BARE

Suffix

DDS

Business Name

MARK RICHARD BARE DDS

Original Issue Date

12/13/1972

Effective Date

09/10/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

11/14/2012