ANITTA BARNABAS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000859

License Status

ACTIVE

Business

First Name

ANITTA

Last Name

BARNABAS

Suffix

DDS

Business Name

ANITTA BARNABAS DDS

Original Issue Date

11/20/2012

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

08/22/2024