ALAN DOUGLAS HARRELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068068

License Status

CANCELLED

Business

Title

First Name

ALAN

Middle

DOUGLAS

Last Name

HARRELL

Business Name

ALAN DOUGLAS HARRELL MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

01/17/2017