ROBERT A BARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BARD

Business Name

ROBERT A BARD

Original Issue Date

05/24/1991

Effective Date

08/20/2009

Expiration Date

09/30/2012

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012