STEPHEN MARVIN HARRISON MD 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

STEPHEN

Middle

MARVIN

Last Name

HARRISON

Suffix

Business Name

STEPHEN MARVIN HARRISON MD

Original Issue Date

12/16/1981

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020