MARK A HARRISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

HARRISON

Suffix

Business Name

MARK A HARRISON MD

Original Issue Date

06/15/1990

Effective Date

06/15/1990

Expiration Date

07/31/1993

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011