DAVID BARACK - Dentist License in Illinois | # 021001202

DAVID BARACK

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001202

License Status

ACTIVE

Business

N

First Name

DAVID

Last Name

BARACK

Business Name

DAVID BARACK

Original Issue Date

09/21/1984

Effective Date

05/01/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

05/01/2024