The holder whose full name is Ballengee, Glenn Allen,come from Indianapolis IN,hold the CSR-Osteopathic Physician license(NO.02000654B) which status is Suspended.
| Name | Ballengee, Glenn Allen |
|---|---|
| License Number | 02000654B |
| License Type | CSR-Osteopathic Physician |
| License Status | Suspended |
| City | Indianapolis |
| State | IN |