STACY A HARRIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027811

License Status

EXPIRED

Business

First Name

STACY A

Last Name

HARRIS

Suffix

Business Name

STACY A HARRIS MD

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006