BARRY MICHAEL ENTIN DDS - Dentist License in Illinois | # 019016437

BARRY MICHAEL ENTIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016437

License Status

NOT RENEWED

Business

N

First Name

BARRY MICHAEL

Last Name

ENTIN

Suffix

DDS

Business Name

BARRY MICHAEL ENTIN DDS

Original Issue Date

07/14/1978

Effective Date

07/14/1978

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005