JULES HARRIS BLANK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059044

License Status

NOT RENEWED

Business

First Name

JULES HARRIS

Last Name

BLANK

Suffix

Business Name

JULES HARRIS BLANK MD

Original Issue Date

08/09/1979

Effective Date

08/09/1979

Expiration Date

07/01/1982

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006