ANITTA BARNABAS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

ANITTA

Last Name

BARNABAS

Suffix

DDS

Business Name

ANITTA BARNABAS DDS

Original Issue Date

09/14/2009

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024