KYLE A HARRISON - Dentist License in Illinois | # 018002102

KYLE A HARRISON

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002102

License Status

EXPIRED

Business

N

First Name

KYLE

Middle

A

Last Name

HARRISON

Business Name

KYLE A HARRISON

Original Issue Date

06/06/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

11/19/2020