JONATHAN W BARRETT DDS 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

JONATHAN W

Last Name

BARRETT

Suffix

DDS

Business Name

JONATHAN W BARRETT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005