MARK JAY HARARY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JAY

Last Name

HARARY

Suffix

Business Name

MARK JAY HARARY MD

Original Issue Date

08/02/2005

Effective Date

08/02/2005

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008