FREDERICK D HARRIS JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

FREDERICK

Middle

Last Name

HARRIS

Suffix

JR MD

Business Name

FREDERICK D HARRIS JR MD

Original Issue Date

10/25/2002

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023