BARRY MICHAEL ENTIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

BARRY MICHAEL

Last Name

ENTIN

Suffix

DDS

Business Name

BARRY MICHAEL ENTIN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005