License holder summary

GLENN BRYAN DAVIS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GLENN BRYAN DAVIS is GREENTREE OFFICE MAXICARE KY, 1615 BLACKISTON VIEW DRIVE, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 04/19/1988 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

GLENN BRYAN DAVIS
Controlled Substance Registration - Physician
License number
01036608B
Date granted
04/19/1988
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GREENTREE OFFICE MAXICARE KY, 1615 BLACKISTON VIEW DRIVE, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 11953694
LAST UPDATED 2024-02-10 08:05:11 UTC

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