Indiana
Professional Licensing Agency
DOUGLAS EDWARD GLOCK
Controlled Substance Registration - Physician
License number
01021155B
Date granted
09/22/1966
Date expires
12/31/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
707 RIVER RD, MARION IN 46952
indianalicensing.org
ID 5887921
LAST UPDATED 2024-02-07 02:09:33 UTC
LAST UPDATED 2024-02-07 02:09:33 UTC
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