PEYTON KEITH HARRIS DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001968

License Status

EXPIRED

Business

Title

DDS

First Name

PEYTON

Middle

KEITH

Last Name

HARRIS

Business Name

PEYTON KEITH HARRIS DDS

Original Issue Date

08/20/2015

Effective Date

08/20/2015

Expiration Date

05/11/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

07/19/2018