ANDREW J HARRISON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

Last Name

HARRISON

Business Name

ANDREW J HARRISON DO

Original Issue Date

06/09/2015

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021