Indiana
Professional Licensing Agency
Glenn Carl Hallberg
Controlled Substance Registration - Dentist
License number
12007994B
Date granted
07/31/1986
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3132 SOUTH CALHOUN STREET, FORT WAYNE IN 46807
indianalicensing.org
ID 5094718
LAST UPDATED 2024-05-01 14:04:48 UTC
LAST UPDATED 2024-05-01 14:04:48 UTC
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