PAUL RUSSELL HARPER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079361

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

RUSSELL

Last Name

HARPER

Business Name

PAUL RUSSELL HARPER DO

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2025

City

MAYWOOD,

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2025