PATRICIA L HARRALSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022249

License Status

EXPIRED

Business

Title

First Name

PATRICIA

Middle

Last Name

HARRALSON

Business Name

PATRICIA L HARRALSON MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

08/01/1992

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006