CHARLES ROGERS HARRIS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ROGERS

Last Name

HARRIS

Suffix

III MD

Business Name

CHARLES ROGERS HARRIS III MD

Original Issue Date

01/12/2005

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011