AMELYA RENEE HARDAWAY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

Title

DDS

First Name

AMELYA

Middle

RENEE

Last Name

HARDAWAY

Business Name

AMELYA RENEE HARDAWAY DDS

Original Issue Date

08/30/2012

Effective Date

08/30/2012

Expiration Date

09/30/2015

City

OLIVE BRANCH

State

Zip

38654

County

MISSISSIPPI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016