Indiana
Professional Licensing Agency
GLENN WILBUR BAKER
Controlled Substance Registration - Physician
License number
01020740B
Date granted
04/30/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 40 MEDICAL CLINIC, 1375 NORTH GREEN STREET, BROWNSBURG IN 46112
indianalicensing.org
ID 5828821
LAST UPDATED 2024-04-16 04:31:36 UTC
LAST UPDATED 2024-04-16 04:31:36 UTC
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