STEPHEN PAUL HARRISON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

STEPHEN PAUL

Last Name

HARRISON

Suffix

DDS

Business Name

STEPHEN PAUL HARRISON DDS

Original Issue Date

09/26/1996

Effective Date

09/26/1996

Expiration Date

09/30/2000

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005