MOLLY MILLER HARRISON DMD - Dentist License in Illinois | # 018001880

MOLLY MILLER HARRISON DMD

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001880

License Status

CANCELLED

Business

N

Title

DMD

First Name

MOLLY

Middle

MILLER

Last Name

HARRISON

Business Name

MOLLY MILLER HARRISON DMD

Original Issue Date

06/28/2013

Effective Date

06/28/2013

Expiration Date

06/30/2014

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

03/13/2015