JONATHAN S HARRISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

JONATHAN S

Last Name

HARRISON

Suffix

Business Name

JONATHAN S HARRISON MD

Original Issue Date

08/29/2020

Effective Date

08/29/2020

Expiration Date

07/31/2023

City

TEANECK

State

Zip

07666

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/30/2023