License holder summary

Glen Stuart Gardiner is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Glen Stuart Gardiner is 3824 South Calhoun Street, Fort Wayne IN 46807-2054. This licensed professional license is not current. The license was granted 12/31/1975 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Glen Stuart Gardiner
Controlled Substance Registration - Dentist
License number
12005213B
Date granted
12/31/1975
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3824 South Calhoun Street, Fort Wayne IN 46807-2054
indianalicensing.org
ID 5094708
LAST UPDATED 2024-03-25 18:24:02 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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