BARRY MARK NATHANSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000889

License Status

NOT RENEWED

Business

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

City

BLOOMINGTON

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

11/14/2012