CHARLES R HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

HARRIS

Suffix

Business Name

CHARLES R HARRIS MD

Original Issue Date

06/18/1985

Effective Date

06/18/1985

Expiration Date

07/31/1987

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006