Indiana
Professional Licensing Agency
Carol D. Harris
Controlled Substance Registration - Physician
License number
01070601B
Date granted
01/23/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11456 Broadway, Crown Point IN 46307
indianalicensing.org
ID 5840813
LAST UPDATED 2024-03-29 12:46:05 UTC
LAST UPDATED 2024-03-29 12:46:05 UTC
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