BART E EISENBARTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026801

License Status

NOT RENEWED

Business

First Name

BART

Middle

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

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

11/08/2006