JAMES B HARRIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

First Name

JAMES B

Last Name

HARRIS

Business Name

JAMES B HARRIS

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/01/2008

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/05/2006