License holder summary

John Glenn Mathis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Glenn Mathis is 17501 Generations Drive, South Bend IN 46635. This licensed professional license is current. The license was granted 03/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John Glenn Mathis
Controlled Substance Registration - Physician
License number
01026543B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
17501 Generations Drive, South Bend IN 46635
indianalicensing.org
ID 5921306
LAST UPDATED 2024-04-11 07:26:09 UTC

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