Idaho
Division of Occupational and Professional Licenses
GLENN FERGUSON HARRIS
Board Of Medicine
License number
MI-5807
Date granted
04/26/1991
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
1083 Desert Oak Pl Sierra Vista AZ 85635
idaholicensing.com
ID 48362900
LAST UPDATED 2024-03-21 07:19:36 UTC
LAST UPDATED 2024-03-21 07:19:36 UTC
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