JOHN E HALVERSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

JOHN E

Last Name

HALVERSEN

Business Name

JOHN E HALVERSEN

Original Issue Date

11/21/1989

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2024