KAMI JO LARSON HARLESS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

KAMI

Middle

JO LARSON

Last Name

HARLESS

Business Name

KAMI JO LARSON HARLESS MD

Original Issue Date

12/29/2016

Effective Date

01/08/2024

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2024