GLENN ORVILLE DICKENSON
Controlled Substance Registration-Osteopathic Physician
Indiana 02000106B Expired
This Indiana license was held by GLENN ORVILLE DICKENSON. The license is no longer active. It was granted on 10/31/1986 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 02000106B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 10/31/1986 (over 39 years ago)
- Expiry Date: 06/30/1997 (almost 29 years ago)
LOCATIONS
A Address
107 WEST MONTGOMERY STREET, OWENSVILLE IN 47665