MICHAEL C HARKINS DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

CANCELLED

Business

First Name

MICHAEL C

Last Name

HARKINS

Suffix

DDS

Business Name

MICHAEL C HARKINS DDS

Original Issue Date

03/05/1993

Effective Date

03/05/1993

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005