Glen A Brunk
Controlled Substance Registration - Physician
Indiana 01026203B Active
This Indiana license is held by Glen A Brunk. The license is currently active. It was granted on 11/30/1985 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01026203B
- Category: CSR-Physician
- Status: Active
- Date Granted: 11/30/1985 (over 39 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Urology of Indiana, L.L.C., 679 East County Line Rd, Greenwood IN 46143-1049
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