Indiana
Professional Licensing Agency
Bruce Douglas Harley
Controlled Substance Registration - Physician
License number
01058929B
Date granted
06/14/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Reg Med Ctr Attn: J.Patterson, 215 W. 4th St., Mishawaka IN 46544
indianalicensing.org
ID 5894682
LAST UPDATED 2024-03-19 13:53:01 UTC
LAST UPDATED 2024-03-19 13:53:01 UTC
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