CARRIE L BARNHART Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000161

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

BARNHART

Business Name

CARRIE L BARNHART

Original Issue Date

04/08/1987

Effective Date

04/08/1987

Expiration Date

04/07/1989

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005