MOLLY MILLER HARRISON DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001880

License Status

CANCELLED

Business

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

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

03/13/2015