Indiana
Professional Licensing Agency
Anthony Nathaniel Harris
Controlled Substance Registration - Physician
License number
01072562B
Date granted
06/13/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Occupational Medicine, LLC, 22818 Old US 20, Elkhart IN 46516
indianalicensing.org
ID 5846628
LAST UPDATED 2024-02-09 10:16:33 UTC
LAST UPDATED 2024-02-09 10:16:33 UTC
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