Glenn Allen Ballengee
Controlled Substance Registration-Osteopathic Physician
Indiana 02000654B Suspended
This Indiana license was held by Glenn Allen Ballengee. The license is no longer active. It was granted on 12/31/1984 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 02000654B
- Category: CSR-Osteopathic Physician
- Status: Suspended
- Date Granted: 12/31/1984 (over 39 years ago)
- Expiry Date: 06/30/2011 (almost 13 years ago)
LOCATIONS
A Address
Pain Management Center of Southern Indiana ATTN: Maria Mitch, 8820 S. Meridian Street, Suite D, Indianapolis IN 46227