Indiana
Professional Licensing Agency
Neil Revere Harris
Controlled Substance Registration - Physician
License number
01018444B
Date granted
03/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1302 Pebble Court, Goshen IN 46528
indianalicensing.org
ID 5858968
LAST UPDATED 2024-04-08 23:45:47 UTC
LAST UPDATED 2024-04-08 23:45:47 UTC
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