BARRY MARK NATHANSON DDS - Dentist License in Illinois | # 021000889

BARRY MARK NATHANSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000889

License Status

NOT RENEWED

Business

N

First Name

BARRY MARK

Last Name

NATHANSON

Suffix

DDS

Business Name

BARRY MARK NATHANSON DDS

Original Issue Date

12/09/1976

Effective Date

09/14/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

11/14/2012