STEVEN L HARRISON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

STEVEN L

Last Name

HARRISON

Business Name

STEVEN L HARRISON

Original Issue Date

07/22/1988

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018