PEYTON KEITH HARRIS DDS - Dentist License in Illinois | # 018001968

PEYTON KEITH HARRIS DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001968

License Status

EXPIRED

Business

N

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

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

07/19/2018