RICHARD W 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

First Name

RICHARD

Middle

Last Name

HARRIS

Suffix

Business Name

RICHARD W HARRIS MD

Original Issue Date

09/19/2007

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014