Indiana
Professional Licensing Agency
GLENN NORMAN BURGESS
Controlled Substance Registration - Physician
License number
01040738B
Date granted
02/17/1994
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSPITAL, R R 2 BOX 38, LOGANSPORT IN 46947
indianalicensing.org
ID 5885040
LAST UPDATED 2024-04-07 14:51:17 UTC
LAST UPDATED 2024-04-07 14:51:17 UTC
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