BRUCE S HARRIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

Last Name

HARRIS

Business Name

BRUCE S HARRIS

Original Issue Date

05/29/2007

Effective Date

08/26/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017