BETHANY M HARRIS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

BETHANY M

HARRIS

DO

BETHANY M HARRIS DO

09/16/1992

09/16/1992

07/31/1996

CHICAGO

IL

60615

COOK

II III IV V

N

09/26/2006