Indiana
Professional Licensing Agency
Tasha Marie Harris
Controlled Substance Registration - Physician
License number
01056752C
Date granted
07/16/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Hospital Outpatient Center, 9660 Wicker Avenue, Saint John IN 46373-9487
indianalicensing.org
ID 5916414
LAST UPDATED 2024-05-03 13:27:16 UTC
LAST UPDATED 2024-05-03 13:27:16 UTC
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