DANIELLE NICOLE HARRIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069696

License Status

EXPIRED

Business

Title

First Name

DANIELLE

Middle

NICOLE

Last Name

HARRIS

Business Name

DANIELLE NICOLE HARRIS DO

Original Issue Date

07/19/2016

Effective Date

07/19/2016

Expiration Date

07/18/2019

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

10/02/2019