COLIN BENJAMIN HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

COLIN

Middle

BENJAMIN

Last Name

HARRIS

Business Name

COLIN BENJAMIN HARRIS MD

Original Issue Date

01/21/2009

Effective Date

01/21/2009

Expiration Date

07/31/2011

City

FAYETTEVILLE

State

Zip

13066

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2015