JONATHAN W BARRETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011037

License Status

NOT RENEWED

Business

First Name

JONATHAN W

Last Name

BARRETT

Suffix

DDS

Business Name

JONATHAN W BARRETT DDS

Original Issue Date

02/05/1957

Effective Date

02/05/1957

Expiration Date

09/30/1988

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005