MYROSLAV HARASYM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054979

License Status

CANCELLED

Business

Title

First Name

MYROSLAV

Last Name

HARASYM

Business Name

MYROSLAV HARASYM MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/23/2008