KELLY MARIE HARTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

HARTE

Suffix

Business Name

KELLY MARIE HARTE MD

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008