License holder summary

Gerald Kiley Glass is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gerald Kiley Glass is 2004 Edison Road, Suite B, South Bend IN 46617. This licensed professional license is current. The license was granted 02/02/1990 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Gerald Kiley Glass
Controlled Substance Registration - Dentist
License number
12005402B
Date granted
02/02/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2004 Edison Road, Suite B, South Bend IN 46617
indianalicensing.org
ID 5122970
LAST UPDATED 2024-04-17 14:09:13 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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