AMANDA ERICA HARRIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

ERICA

Last Name

HARRIS

Business Name

AMANDA ERICA HARRIS MD

Original Issue Date

08/17/2021

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023