BENNETT EDWARD HARRIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154123

License Status

NOT RENEWED

Business

Title

First Name

BENNETT

Middle

EDWARD

Last Name

HARRIS

Business Name

BENNETT EDWARD HARRIS DO

Original Issue Date

08/28/2020

Effective Date

08/28/2020

Expiration Date

07/31/2023

City

CLEVELAND

State

Zip

44106

Ever Disciplined

LastModifiedDate

11/30/2023