PAUL WAYNE HARRIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

PAUL

Middle

WAYNE

Last Name

HARRIS

Suffix

Business Name

PAUL WAYNE HARRIS MD

Original Issue Date

07/06/2001

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023