SCOTT C BARES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

BARES

Suffix

DDS

Business Name

SCOTT C BARES DDS

Original Issue Date

12/28/2012

Effective Date

07/24/2015

Expiration Date

09/30/2018

City

FORRESTON

State

Zip

61030

County

OGLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018