Indiana
Professional Licensing Agency
Keith Joseph Harrison
Controlled Substance Registration - Dentist
License number
12011823B
Date granted
06/06/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6412 Winchester Road, Fort Wayne IN 46819-1550
indianalicensing.org
ID 5095195
LAST UPDATED 2024-05-03 23:08:41 UTC
LAST UPDATED 2024-05-03 23:08:41 UTC
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