WALLACE TAYLOR HARRIS 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

Title

First Name

WALLACE

Middle

TAYLOR

Last Name

HARRIS

Business Name

WALLACE TAYLOR HARRIS MD

Original Issue Date

05/26/2021

Effective Date

05/26/2021

Expiration Date

07/31/2023

City

DES PLAINES

State

Zip

60018

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023