MICHAEL ANDRE HARRELL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160544

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ANDRE

Last Name

HARRELL

Suffix

Business Name

MICHAEL ANDRE HARRELL JR MD

Original Issue Date

05/10/2022

Effective Date

05/10/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023