MICHAEL STANLEY BARNETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

MICHAEL STANLEY

Last Name

BARNETT

Suffix

DDS

Business Name

MICHAEL STANLEY BARNETT DDS

Original Issue Date

10/30/1996

Effective Date

10/19/2015

Expiration Date

09/30/2018

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018