VIVIAN J HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

VIVIAN J

Last Name

HARRIS

Suffix

Business Name

VIVIAN J HARRIS MD

Original Issue Date

01/07/1985

Effective Date

01/07/1985

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008