BART JOEL PAUL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

BART JOEL

Last Name

PAUL

Suffix

DDS

Business Name

BART JOEL PAUL DDS

Original Issue Date

10/28/1981

Effective Date

07/28/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2024