KRISTEN M J HARRIS NWANYANWU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Middle

M J

Last Name

HARRIS NWANYANWU

Business Name

KRISTEN M J HARRIS NWANYANWU MD

Original Issue Date

10/10/2013

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017