SCOTT C BARES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

BARES

Suffix

DDS

Business Name

SCOTT C BARES DDS

Original Issue Date

12/28/2012

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

SAVANNA

State

Zip

61074

County

CARROLL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024