License holder summary

GLEN P KALLENBACH is a Physician licensed to practice in Indiana. The address on file for GLEN P KALLENBACH is MEXICO MO 65265. This licensed professional license is not current. The license was granted 09/24/1987 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

GLEN P KALLENBACH
Physician
License number
01036360A
Date granted
09/24/1987
Date expires
06/30/1991
Class
Physician
Status
Expired Non-Renewable
Address
MEXICO MO 65265
indianalicensing.org
ID 6076886
LAST UPDATED 2026-06-14 15:11:26 UTC

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