CARMELLA M BARRETT PERRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

CARMELLA M

Last Name

BARRETT PERRY

Business Name

CARMELLA M BARRETT PERRY

Original Issue Date

02/07/1986

Effective Date

02/07/1986

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005