PHYLLIS D HARDING 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

PHYLLIS D

Last Name

HARDING

Business Name

PHYLLIS D HARDING

Original Issue Date

07/25/1989

Effective Date

07/25/1989

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006