BARRY E BOOTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

BARRY E

Last Name

BOOTH

Business Name

BARRY E BOOTH

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

09/30/2000

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005