BRANDON SCOTT HARBIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

SCOTT

Last Name

HARBIN

Suffix

DDS

Business Name

BRANDON SCOTT HARBIN DDS

Original Issue Date

09/07/2006

Effective Date

09/07/2006

Expiration Date

09/30/2009

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/04/2009