BRUCE DOUGLAS HARLEY MD - Medical Doctor License in Indiana | # 036110829

BRUCE DOUGLAS HARLEY MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110829

License Status

INACTIVE

Business

N

First Name

BRUCE

Middle

DOUGLAS

Last Name

HARLEY

Suffix

DPM MD

Business Name

BRUCE DOUGLAS HARLEY MD

Original Issue Date

02/18/2004

Effective Date

02/18/2004

Expiration Date

07/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006