License holder summary

Glenn A. Kotnik is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Glenn A. Kotnik is Witham Memorial Hospital, 2605 North Lebanon Street, Lebanon IN 46052. This licensed professional license is current. The license was granted 07/01/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Glenn A. Kotnik
Controlled Substance Registration - Physician
License number
01039473B
Date granted
07/01/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Witham Memorial Hospital, 2605 North Lebanon Street, Lebanon IN 46052
indianalicensing.org
ID 5883746
LAST UPDATED 2024-04-16 17:42:13 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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