STEPHEN MARVIN HARRISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043306

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

MARVIN

Last Name

HARRISON

Suffix

Business Name

STEPHEN MARVIN HARRISON MD

Original Issue Date

06/30/1970

Effective Date

01/24/2018

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021