License holder summary

DOUGLAS EDWARD GLOCK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DOUGLAS EDWARD GLOCK is 707 RIVER RD, MARION IN 46952. This licensed professional license is not current. The license was granted 09/22/1966 and expired on 12/31/1982.

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

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