License holder summary

Glenn John Wisnieski is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Glenn John Wisnieski is 409 Roosevelt Road, Walkerton IN 46574. This licensed professional license is current. The license was granted 09/30/1984 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Glenn John Wisnieski
Controlled Substance Registration - Dentist
License number
12007003B
Date granted
09/30/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
409 Roosevelt Road, Walkerton IN 46574
indianalicensing.org
ID 5126898
LAST UPDATED 2026-05-13 03:29:16 UTC

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