GEORGE CLINTON BARRETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000632

License Status

NOT RENEWED

Business

First Name

GEORGE CLINTON

Last Name

BARRETT

Business Name

GEORGE CLINTON BARRETT

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1998

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005