Kenneth Kirk Harris
Controlled Substance Registration-Osteopathic Physician
Indiana 02002658B Expired
This Indiana license was held by Kenneth Kirk Harris. The license is no longer active. It was granted on 07/17/2003 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 02002658B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/17/2003 (almost 23 years ago)
- Expiry Date: 06/30/2005 (almost 21 years ago)
LOCATIONS
A Address
Southbend Clinic at Skyway Primary Care, 610 North Michigan Street, Suite #400, South Bend IN 46601