License holder summary

THEODORE ALFRED HARRIS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THEODORE ALFRED HARRIS is SOUTH CENTRAL CMHC, 645 S ROGERS STREET, BLOOMINGTON IN 47403. This licensed professional license is not current. The license was granted 12/10/1992 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

THEODORE ALFRED HARRIS
Controlled Substance Registration - Physician
License number
01040962B
Date granted
12/10/1992
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTH CENTRAL CMHC, 645 S ROGERS STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5825933
LAST UPDATED 2024-03-06 16:43:54 UTC

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