MICHAEL BERNARD HARRIS
Idaho DPHY-8882 Canceled
This Idaho license was held by MICHAEL BERNARD HARRIS. The license is no longer active. It was granted on 11/04/2004 and expired on 02/01/2012
LICENSE DETAILS
- License Number: DPHY-8882
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/04/2004 (almost 22 years ago)
- Expiry Date: 02/01/2012 (over 14 years ago)
LOCATIONS
A Residential
White-Wilson Medical Center, Attn: Admin Fort Walton Beach FL 32547