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