KEVIN T HARRIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052937

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

Last Name

HARRIS

Business Name

KEVIN T HARRIS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

05/20/2010