License holder summary

GLENN BURTON MATHER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GLENN BURTON MATHER is 1215 SOUTH BROOKS, BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

GLENN BURTON MATHER
Controlled Substance Registration - Physician
License number
01018804B
Date granted
02/28/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1215 SOUTH BROOKS, BLOOMINGTON IN 47401
indianalicensing.org
ID 5824376
LAST UPDATED 2024-03-06 02:01:23 UTC

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