NEELY T R HARRIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000915

License Status

EXPIRED

Business

Title

First Name

NEELY

Middle

T R

Last Name

HARRIS

Business Name

NEELY T R HARRIS MD

Original Issue Date

05/23/2023

Effective Date

05/23/2023

Expiration Date

11/22/2023

City

MATTOON

State

Zip

61938

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

01/08/2025