License holder summary

Glenn Arthur Mandeville is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Glenn Arthur Mandeville is UAP Clinic, LLC, 1429 North 6th Street, Terre Haute IN 47807-1037. This licensed professional license is current. The license was granted 03/25/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Glenn Arthur Mandeville
Controlled Substance Registration - Physician
License number
01041222B
Date granted
03/25/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
UAP Clinic, LLC, 1429 North 6th Street, Terre Haute IN 47807-1037
indianalicensing.org
ID 5925309
LAST UPDATED 2024-04-28 21:08:31 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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