License holder summary

Glen Dale Middaugh is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Glen Dale Middaugh is 2801 Anton Road, Terre Haute IN 47803. This licensed professional license is current. The license was granted 11/16/2001 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Glen Dale Middaugh
Controlled Substance Registration - Dentist
License number
12010393B
Date granted
11/16/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2801 Anton Road, Terre Haute IN 47803
indianalicensing.org
ID 5124868
LAST UPDATED 2024-03-17 00:07:25 UTC

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