HARRY GEORGE HENDERSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

HARRY GEORGE

Last Name

HENDERSON

Suffix

DDS

Business Name

HARRY GEORGE HENDERSON DDS

Original Issue Date

06/01/1988

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024