PETER T HARNOIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

PETER T

Last Name

HARNOIS

Business Name

PETER T HARNOIS

Original Issue Date

08/14/2008

Effective Date

11/19/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012