CHARLES R HARRIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016217

License Status

EXPIRED

Business

First Name

CHARLES R

Last Name

HARRIS

Suffix

Business Name

CHARLES R HARRIS MD

Original Issue Date

07/25/1983

Effective Date

07/25/1983

Expiration Date

07/01/1985

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006