SHELLIE M HARDEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

Title

DDS

First Name

SHELLIE

Middle

Last Name

HARDEN

Business Name

SHELLIE M HARDEN DDS

Original Issue Date

03/28/1995

Effective Date

03/28/1995

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005