RODRIGUE G BARAKAT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

Title

DMD

First Name

RODRIGUE

Middle

Last Name

BARAKAT

Business Name

RODRIGUE G BARAKAT DMD

Original Issue Date

09/19/2006

Effective Date

09/19/2006

Expiration Date

09/30/2009

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009