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