RAYMOND PETER BARRA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

RAYMOND PETER

Last Name

BARRA

Business Name

RAYMOND PETER BARRA

Original Issue Date

08/23/1982

Effective Date

11/09/2021

Expiration Date

09/30/2024

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025