PATRICIA JEAN HARLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

PATRICIA JEAN

Last Name

HARLEY

Suffix

Business Name

PATRICIA JEAN HARLEY MD

Original Issue Date

04/29/1996

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023