CASSANDRA C HARRISON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

CANCELLED

Business

First Name

CASSANDRA

Middle

Last Name

HARRISON

Suffix

Business Name

CASSANDRA C HARRISON MD

Original Issue Date

05/23/2000

Effective Date

05/23/2000

Expiration Date

07/31/2005

City

LA SALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017