KEVIN CHARLES HARRISON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035977

License Status

EXPIRED

Business

First Name

KEVIN

Middle

CHARLES

Last Name

HARRISON

Suffix

Business Name

KEVIN CHARLES HARRISON DO

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

06/19/2000

City

OLYMPIA FLDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006