CHARLES ROGERS HARRIS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112117

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ROGERS

Last Name

HARRIS

Suffix

III MD

Business Name

CHARLES ROGERS HARRIS III MD

Original Issue Date

08/13/2004

Effective Date

05/30/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011