KYLE A HARRISON Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002102

License Status

EXPIRED

Business

First Name

KYLE

Middle

Last Name

HARRISON

Business Name

KYLE A HARRISON

Original Issue Date

06/06/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

11/19/2020