Indiana
Professional Licensing Agency
Jason P. Glassley
Controlled Substance Registration - Dentist
License number
12010736B
Date granted
07/19/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Fort Wayne Endodontics, P.C., 5718 Coventry Lane, Fort Wayne IN 46804
indianalicensing.org
ID 5095069
LAST UPDATED 2024-03-31 14:48:01 UTC
LAST UPDATED 2024-03-31 14:48:01 UTC
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