DAVID BARACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001202

License Status

ACTIVE

Business

First Name

DAVID

Last Name

BARACK

Business Name

DAVID BARACK

Original Issue Date

09/21/1984

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

05/01/2024