ANTHONY NATHANIEL HARRIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060432

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

NATHANIEL

Last Name

HARRIS

Business Name

ANTHONY NATHANIEL HARRIS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

06/21/2011