License holder summary

Constance Lynn Glass is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Constance Lynn Glass is Hazel Dell Pediatrics, LLC, 13250 Hazel Dell Parkway, Ste 103, Carmel IN 46033. This licensed professional license is current. The license was granted 07/23/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Constance Lynn Glass
Controlled Substance Registration - Physician
License number
01045216B
Date granted
07/23/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hazel Dell Pediatrics, LLC, 13250 Hazel Dell Parkway, Ste 103, Carmel IN 46033
indianalicensing.org
ID 5830129
LAST UPDATED 2024-04-03 14:59:22 UTC

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