License holder summary

GLEN O SAGRAVES is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for GLEN O SAGRAVES is 9110 CRESTVIEW DRIVE, INDIANAPOLIS IN 46240. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 01/31/1987.

Indiana

Professional Licensing Agency

GLEN O SAGRAVES
Controlled Substance Registration - Dentist
License number
12005580B
Date granted
01/31/1986
Date expires
01/31/1987
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
9110 CRESTVIEW DRIVE, INDIANAPOLIS IN 46240
indianalicensing.org
ID 5102438
LAST UPDATED 2026-05-26 15:27:44 UTC

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