Indiana
Professional Licensing Agency
Harlan R Bullard
Controlled Substance Registration - Physician
License number
01021121B
Date granted
04/30/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
103 S. Eddy St., South Bend IN 46617
indianalicensing.org
ID 5921064
LAST UPDATED 2024-05-15 08:14:56 UTC
LAST UPDATED 2024-05-15 08:14:56 UTC
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