THEODORE ROOSEVELT HARPER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156229

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

ROOSEVELT

Last Name

HARPER

Business Name

THEODORE ROOSEVELT HARPER MD

Original Issue Date

03/23/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62220

Ever Disciplined

LastModifiedDate

04/07/2023