Indiana
Professional Licensing Agency
Michael Nathaniel Harris
Controlled Substance Registration - Dentist
License number
12011159B
Date granted
08/19/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
103 North Farabee Drive Suite C, Lafayette IN 47905
indianalicensing.org
ID 5107725
LAST UPDATED 2024-03-02 19:39:54 UTC
LAST UPDATED 2024-03-02 19:39:54 UTC
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