MICHAEL ANDREW BARTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

ANDREW

Last Name

BARTH

Business Name

MICHAEL ANDREW BARTH DDS

Original Issue Date

07/07/2020

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025