JOHN CLAYTON HARBECK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

JOHN CLAYTON

Last Name

HARBECK

Suffix

DDS

Business Name

JOHN CLAYTON HARBECK DDS

Original Issue Date

01/01/1998

Effective Date

08/25/2009

Expiration Date

09/30/2012

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012