JEFFREY LEE HARRIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097962

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

LEE

Last Name

HARRIS

Suffix

Business Name

JEFFREY LEE HARRIS MD

Original Issue Date

06/09/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

04/17/2008