MYRON HARASYM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

MYRON

Last Name

HARASYM

Suffix

Business Name

MYRON HARASYM MD

Original Issue Date

03/30/2007

Effective Date

03/30/2007

Expiration Date

07/31/2008

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017