DANIEL EDWARD HARRIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

CANCELLED

Business

First Name

DANIEL

Middle

EDWARD

Last Name

HARRIS

Suffix

Business Name

DANIEL EDWARD HARRIS MD

Original Issue Date

02/17/2000

Effective Date

02/17/2000

Expiration Date

07/31/2005

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006