Indiana
Professional Licensing Agency
Glenn Allen Ballengee
Controlled Substance Registration-Osteopathic Physician
License number
02000654B
Date granted
12/31/1984
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Suspended
Address
Pain Management Center of Southern Indiana ATTN: Maria Mitch, 8820 S. Meridian Street, Suite D, Indianapolis IN 46227
indianalicensing.org
ID 5804503
LAST UPDATED 2024-02-21 05:33:45 UTC
LAST UPDATED 2024-02-21 05:33:45 UTC
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