BRUCE DOUGLAS HARLEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110829

License Status

INACTIVE

Business

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

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006