OMAR ELI BARRAZA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

Title

DMD

First Name

OMAR

Middle

ELI

Last Name

BARRAZA

Business Name

OMAR ELI BARRAZA DMD

Original Issue Date

08/08/2017

Effective Date

08/29/2018

Expiration Date

01/31/2022

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022