PATRICIA L HARRALSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

CANCELLED

Business

Title

First Name

PATRICIA

Middle

Last Name

HARRALSON

Business Name

PATRICIA L HARRALSON MD

Original Issue Date

02/17/2010

Effective Date

02/17/2010

Expiration Date

07/31/2011

City

FARIVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011