HOMER W HARRIS JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

HOMER W

Last Name

HARRIS JR

Business Name

HOMER W HARRIS JR

Original Issue Date

05/06/1986

Effective Date

05/06/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006