DOUGLAS E HARSHBERGER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000181

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

HARSHBERGER

Business Name

DOUGLAS E HARSHBERGER

Original Issue Date

06/27/1987

Effective Date

06/27/1987

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005