DANIEL R HARTWIG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DDS

First Name

DANIEL

Middle

Last Name

HARTWIG

Business Name

DANIEL R HARTWIG DDS

Original Issue Date

02/17/2015

Effective Date

09/11/2015

Expiration Date

09/30/2018

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018