BARRY MICHAEL ENTIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001048

License Status

NOT RENEWED

Business

First Name

BARRY MICHAEL

Last Name

ENTIN

Suffix

DDS

Business Name

BARRY MICHAEL ENTIN DDS

Original Issue Date

06/12/1980

Effective Date

06/12/1980

Expiration Date

09/30/2002

City

GLENCOE

State

Zip

60022

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/17/2005