CHARLES S HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

CHARLES S

Last Name

HARRIS

Suffix

Business Name

CHARLES S HARRIS MD

Original Issue Date

12/24/1986

Effective Date

12/24/1986

Expiration Date

07/31/1990

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006