NEELY T R HARRIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166678

License Status

ACTIVE

Business

Title

First Name

NEELY

Middle

T R

Last Name

HARRIS

Business Name

NEELY T R HARRIS MD

Original Issue Date

08/23/2023

Effective Date

08/23/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

06/26/2025