STEPHEN WESLEY BARBER DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

WESLEY

Last Name

BARBER

Suffix

DMD

Business Name

STEPHEN WESLEY BARBER DMD

Original Issue Date

07/13/1998

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

FLORA

State

Zip

62839

County

CLAY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2021