DANA B HARDIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

HARDIN

Business Name

DANA B HARDIN

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006