Indiana
Professional Licensing Agency
James Ellis Gluckin
Controlled Substance Registration - Physician
License number
01025765B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
58638 Stella Drive, Elkhart IN 46517
indianalicensing.org
ID 5847414
LAST UPDATED 2024-02-20 10:11:40 UTC
LAST UPDATED 2024-02-20 10:11:40 UTC
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