HARRY GEORGE HENDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

HARRY GEORGE

Last Name

HENDERSON

Suffix

DDS

Business Name

HARRY GEORGE HENDERSON DDS

Original Issue Date

06/01/1988

Effective Date

06/01/1988

Expiration Date

09/30/1992

City

MENARD

State

Zip

62259

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005