BARRY WAYNE SIMMS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

BARRY

Middle

WAYNE

Last Name

SIMMS

Suffix

DMD

Business Name

BARRY WAYNE SIMMS DMD

Original Issue Date

12/21/2006

Effective Date

12/21/2006

Expiration Date

09/30/2009

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009