DUSTIN MICHAEL HARRIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068999

License Status

EXPIRED

Business

Title

First Name

DUSTIN

Middle

MICHAEL

Last Name

HARRIS

Business Name

DUSTIN MICHAEL HARRIS MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/02/2019