VIVIAN J HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043118

License Status

NOT RENEWED

Business

First Name

VIVIAN J

Last Name

HARRIS

Suffix

Business Name

VIVIAN J HARRIS MD

Original Issue Date

01/14/1970

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008