JACQUELINE E HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077957

License Status

NOT RENEWED

Business

First Name

JACQUELINE E

Last Name

HARRIS

Suffix

Business Name

JACQUELINE E HARRIS MD

Original Issue Date

10/08/1988

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014