BARBARA B ZICKGRAF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

Title

DDS

First Name

BARBARA

Middle

Last Name

ZICKGRAF

Business Name

BARBARA B ZICKGRAF DDS

Original Issue Date

09/22/2015

Effective Date

09/22/2015

Expiration Date

09/30/2018

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018