License holder summary

Derralyn Marie Harris is a Physician licensed to practice in Indiana. The address on file for Derralyn Marie Harris is Columbus GA 31907. This licensed professional license is not current. The license was granted 06/27/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Derralyn Marie Harris
Physician
License number
01054465A
Date granted
06/27/2001
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
Columbus GA 31907
indianalicensing.org
ID 6039974
LAST UPDATED 2024-02-28 23:14:09 UTC

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