License holder summary

STEVEN RANDOLPH GLOCK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for STEVEN RANDOLPH GLOCK is 5050 N CLINTON STREET, FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

STEVEN RANDOLPH GLOCK
Controlled Substance Registration - Physician
License number
01020111B
Date granted
12/31/1985
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5050 N CLINTON STREET, FORT WAYNE IN 46825
indianalicensing.org
ID 5854564
LAST UPDATED 2024-04-08 06:01:21 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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