Indiana
Professional Licensing Agency
Glenn Curtis Groom
Controlled Substance Registration-Physician Assistant
License number
10000975C
Date granted
04/11/2012
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Methodist Hospital, 600 Grant Street, Gary IN 46402
indianalicensing.org
ID 8386756
LAST UPDATED 2024-04-26 08:14:03 UTC
LAST UPDATED 2024-04-26 08:14:03 UTC
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