Indiana
Professional Licensing Agency
GLENN KNOTTS ROUSSEAU
Controlled Substance Registration - Physician
License number
01043424B
Date granted
01/26/1995
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PATOKA VALLEY RADIOLOGY, 161 SCHUETTER RAOD, JASPER IN 47546
indianalicensing.org
ID 5871552
LAST UPDATED 2026-04-19 03:23:07 UTC
LAST UPDATED 2026-04-19 03:23:07 UTC
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