BERT T BARNES DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

First Name

BERT T

Last Name

BARNES

Suffix

DMD

Business Name

BERT T BARNES DMD

Original Issue Date

10/19/1990

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/24/2024