MICHAEL HENRY HARRIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

HENRY

Last Name

HARRIS

Business Name

MICHAEL HENRY HARRIS

Original Issue Date

10/06/2021

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023