PAUL DAVID HARRIS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

PAUL

DAVID

HARRIS

DO

PAUL DAVID HARRIS DO

07/14/1998

07/14/1998

07/31/2002

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006