Indiana
Professional Licensing Agency
Douglas Harty
Controlled Substance Registration - Dentist
License number
12008501B
Date granted
11/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2801 Fairview Place, Greenwood IN 46142
indianalicensing.org
ID 5099128
LAST UPDATED 2026-05-17 10:02:03 UTC
LAST UPDATED 2026-05-17 10:02:03 UTC
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