WILLARD SAMUEL HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043011

License Status

NOT RENEWED

Business

First Name

WILLARD SAMUEL

Last Name

HARRIS

Suffix

Business Name

WILLARD SAMUEL HARRIS MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

City

MORGANTOWN

State

Zip

26506

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006