CHARLES M HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

CHARLES M

Last Name

HARRIS

Suffix

Business Name

CHARLES M HARRIS MD

Original Issue Date

06/13/1984

Effective Date

06/13/1984

Expiration Date

07/31/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020