GUY ALLEN BARTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025338

License Status

NOT RENEWED

Business

First Name

GUY

Middle

ALLEN

Last Name

BARTA

Suffix

DDS

Business Name

GUY ALLEN BARTA DDS

Original Issue Date

07/20/2000

Effective Date

07/20/2000

Expiration Date

09/30/2002

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005