MICHAEL D HARRISON MD - Medical Doctor License in Illinois | # 125020021

MICHAEL D HARRISON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020021

License Status

EXPIRED

Business

N

First Name

MICHAEL D

Last Name

HARRISON

Suffix

MD

Business Name

MICHAEL D HARRISON MD

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006