HARLAN LEE WHITE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

HARLAN

Middle

LEE

Last Name

WHITE

Suffix

DMD

Business Name

HARLAN LEE WHITE DMD

Original Issue Date

11/30/2010

Effective Date

11/30/2010

Expiration Date

09/30/2012

City

CANYONVILLE

State

Zip

97417

County

OREGON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012