MICHELLE D HARRIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

HARRIS

Business Name

MICHELLE D HARRIS

Original Issue Date

09/30/2004

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023