HOMER W HARRIS JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072241

License Status

NOT RENEWED

Business

First Name

HOMER W

Last Name

HARRIS JR

Business Name

HOMER W HARRIS JR

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

07/31/1987

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006