BARRY E BOOTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

BARRY E

Last Name

BOOTH

Business Name

BARRY E BOOTH

Original Issue Date

05/21/1992

Effective Date

10/14/2021

Expiration Date

09/30/2024

City

HOMER GLEN

State

Zip

60491

County

WILL

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/04/2025