CATHERINE HARB Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

CATHERINE

Last Name

HARB

Business Name

CATHERINE HARB

Original Issue Date

10/25/2010

Effective Date

11/01/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016