ALWYN DALVESTER HARRIOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

ALWYN

Middle

DALVESTER

Last Name

HARRIOTT

Business Name

ALWYN DALVESTER HARRIOTT MD

Original Issue Date

08/06/2013

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

GOODLETTSVILLE

State

Zip

37072

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021