KALLIE LOUISE HARRISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

KALLIE

Middle

LOUISE

Last Name

HARRISON

Business Name

KALLIE LOUISE HARRISON MD

Original Issue Date

01/26/2015

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023