License holder summary

Kenneth Kirk Harris is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Kenneth Kirk Harris is Southbend Clinic at Skyway Primary Care, 610 North Michigan Street, Suite #400, South Bend IN 46601. This licensed professional license is not current. The license was granted 07/17/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Kenneth Kirk Harris
Controlled Substance Registration-Osteopathic Physician
License number
02002658B
Date granted
07/17/2003
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Southbend Clinic at Skyway Primary Care, 610 North Michigan Street, Suite #400, South Bend IN 46601
indianalicensing.org
ID 5813465
LAST UPDATED 2024-04-28 22:41:28 UTC

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