GLENN A HARRISON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

GLENN A

Last Name

HARRISON

Business Name

GLENN A HARRISON

Original Issue Date

02/20/1996

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023