BRETT WAYNE BARLOW DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRETT

Middle

WAYNE

Last Name

BARLOW

Business Name

BRETT WAYNE BARLOW DMD

Original Issue Date

05/17/2007

Effective Date

07/14/2010

Expiration Date

09/30/2012

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/29/2014