BART E EISENBARTH DDS - Dentist License in Illinois | # 019026801

BART E EISENBARTH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026801

License Status

NOT RENEWED

Business

N

First Name

BART

Middle

E

Last Name

EISENBARTH

Suffix

DDS

Business Name

BART E EISENBARTH DDS

Original Issue Date

06/27/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006