ROBERT H HARALSON III 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

ROBERT

Middle

Last Name

HARALSON

Suffix

III MD

Business Name

ROBERT H HARALSON III MD

Original Issue Date

10/22/2007

Effective Date

08/26/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60018

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011