License holder summary

Glen A Brunk is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Glen A Brunk is Urology of Indiana, L.L.C., 679 East County Line Rd, Greenwood IN 46143-1049. This licensed professional license is current. The license was granted 11/30/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Glen A Brunk
Controlled Substance Registration - Physician
License number
01026203B
Date granted
11/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Urology of Indiana, L.L.C., 679 East County Line Rd, Greenwood IN 46143-1049
indianalicensing.org
ID 5861810
LAST UPDATED 2024-03-08 01:45:07 UTC

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