KALLIE LOUISE HARRISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137005

License Status

NOT RENEWED

Business

Title

First Name

KALLIE

Middle

LOUISE

Last Name

HARRISON

Business Name

KALLIE LOUISE HARRISON MD

Original Issue Date

12/31/2014

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/30/2023