MARY THERESA HARRIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

Title

DDS

First Name

MARY

Middle

THERESA

Last Name

HARRIS

Business Name

MARY THERESA HARRIS DDS

Original Issue Date

09/11/2017

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024