BRADLEY W BARNES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

BRADLEY W

Last Name

BARNES

Business Name

BRADLEY W BARNES

Original Issue Date

09/05/1985

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024