Indiana
Professional Licensing Agency
Timothy Russell Harrison
Controlled Substance Registration - Physician
License number
01064269B
Date granted
08/24/2007
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1202 N. Wayne Street, Angola IN 46703
indianalicensing.org
ID 5818851
LAST UPDATED 2024-03-18 03:13:02 UTC
LAST UPDATED 2024-03-18 03:13:02 UTC
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