License holder summary

Paul Bernard Glass is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Paul Bernard Glass is 2004 Edison Road, Suite B, South Bend IN 46617-1712. This licensed professional license is current. The license was granted 07/16/1996 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Paul Bernard Glass
Controlled Substance Registration - Dentist
License number
12009864B
Date granted
07/16/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2004 Edison Road, Suite B, South Bend IN 46617-1712
indianalicensing.org
ID 5123346
LAST UPDATED 2024-04-19 10:28:50 UTC

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