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
LAST UPDATED 2024-04-28 22:41:28 UTC
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