LAURA E HARNESS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

HARNESS

Business Name

LAURA E HARNESS

Original Issue Date

06/16/2015

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

CASSOPOLIS

State

Zip

49031

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018