Indiana
Professional Licensing Agency
Kim Elizabeth Harris
Controlled Substance Registration - Dentist
License number
12009550B
Date granted
03/31/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6225 West 56th Street, Suite 100, Indianapolis IN 46254
indianalicensing.org
ID 5103303
LAST UPDATED 2024-03-27 10:14:34 UTC
LAST UPDATED 2024-03-27 10:14:34 UTC
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