GABRIEL TAFF HARRIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056766

License Status

EXPIRED

Business

First Name

GABRIEL

Middle

TAFF

Last Name

HARRIS

Business Name

GABRIEL TAFF HARRIS

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012