KENNETH JEREMY BARKER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

KENNETH

Middle

JEREMY

Last Name

BARKER

Suffix

DDS

Business Name

KENNETH JEREMY BARKER DDS

Original Issue Date

04/24/2007

Effective Date

05/31/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2024