MARK RICHARD BARE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000734

License Status

NOT RENEWED

Business

First Name

MARK RICHARD

Last Name

BARE

Suffix

DDS

Business Name

MARK RICHARD BARE DDS

Original Issue Date

12/13/1972

Effective Date

09/10/2009

Expiration Date

09/30/2012

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/14/2012