BRUCE DOUGLAS HARLEY MD Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003718

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

DOUGLAS

Last Name

HARLEY

Suffix

DPM MD

Business Name

BRUCE DOUGLAS HARLEY MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

01/31/1997

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006