Indiana
Professional Licensing Agency
Gregory K. Brock
Controlled Substance Registration-Osteopathic Physician
License number
02001784B
Date granted
09/26/1996
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
257 Walnut Street, Clinton IN 47842
indianalicensing.org
ID 5796834
LAST UPDATED 2026-04-06 00:54:13 UTC
LAST UPDATED 2026-04-06 00:54:13 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.