MARK A BARR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

BARR

Suffix

DDS

Business Name

MARK A BARR DDS

Original Issue Date

01/15/1991

Effective Date

01/15/1991

Expiration Date

09/30/1992

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005