MARTIN WILLIAM HARRISON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

MARTIN

Middle

WILLIAM

Last Name

HARRISON

Suffix

Business Name

MARTIN WILLIAM HARRISON MD

Original Issue Date

06/30/2009

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023