TOWANDA SHANTA HARRIS-FULLER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115533

License Status

ACTIVE

Business

First Name

TOWANDA

Middle

SHANTA

Last Name

HARRIS-FULLER

Business Name

TOWANDA SHANTA HARRIS-FULLER

Original Issue Date

03/24/2006

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

COOK

Ever Disciplined

LastModifiedDate

03/25/2026