License holder summary

Michael Robert Glassley is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Robert Glassley is 1612 Spring Street, Fort Wayne IN 46808. This licensed professional license is not current. The license was granted 03/16/1990 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Michael Robert Glassley
Controlled Substance Registration - Dentist
License number
12006497B
Date granted
03/16/1990
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1612 Spring Street, Fort Wayne IN 46808
indianalicensing.org
ID 5095456
LAST UPDATED 2024-03-14 16:51:15 UTC

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