Timothy Russell Harrison
Controlled Substance Registration - Physician
Indiana 01064269B Expired
This Indiana license was held by Timothy Russell Harrison. The license is no longer active. It was granted on 08/24/2007 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01064269B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/24/2007 (almost 18 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
1202 N. Wayne Street, Angola IN 46703