License holder summary

David Keith Harrison is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David Keith Harrison is 6412 Winchester Road, Fort Wayne IN 46819. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

David Keith Harrison
Controlled Substance Registration - Dentist
License number
12008577B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6412 Winchester Road, Fort Wayne IN 46819
indianalicensing.org
ID 5094452
LAST UPDATED 2024-02-26 08:21:53 UTC

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