STEPHEN D HARRISON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

STEPHEN D

Last Name

HARRISON

Suffix

Business Name

STEPHEN D HARRISON MD

Original Issue Date

07/28/1986

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

FULTON

State

Zip

61252

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023