DACIA JENNINGS HARROLD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057758

License Status

CANCELLED

Business

Title

First Name

DACIA

Middle

JENNINGS

Last Name

HARROLD

Business Name

DACIA JENNINGS HARROLD MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

PHOENIX

State

Zip

85044

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/29/2010