RICHARD W HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119357

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

HARRIS

Suffix

Business Name

RICHARD W HARRIS MD

Original Issue Date

09/06/2007

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/17/2014