KEITH A BARNHART Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

KEITH A

Last Name

BARNHART

Business Name

KEITH A BARNHART

Original Issue Date

10/24/1983

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

HINCKLEY

State

Zip

60520

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024