ANTHONY NATHANIEL HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

NATHANIEL

Last Name

HARRIS

Business Name

ANTHONY NATHANIEL HARRIS MD

Original Issue Date

04/30/2013

Effective Date

04/30/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020