FREDERICK D HARRIS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

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

06/17/2011

Expiration Date

07/31/2014

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020