License holder summary

Bruce Douglas Harley is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Bruce Douglas Harley is St. Joseph Reg Med Ctr Attn: J.Patterson, 215 W. 4th St., Mishawaka IN 46544. This licensed professional license is current. The license was granted 06/14/2004 and expired on 10/31/2015.

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 2024-05-08 04:15:26 UTC

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