JACQUELINE L HARRISON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

HARRISON

Business Name

JACQUELINE L HARRISON

Original Issue Date

05/29/2002

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2023