MICHAEL ANDRE HARRELL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ANDRE

Last Name

HARRELL

Suffix

Business Name

MICHAEL ANDRE HARRELL JR MD

Original Issue Date

07/14/2022

Effective Date

07/14/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/30/2023