GLENN BYNUM MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020206-0002

License Status

NOT RENEWED

Business

First Name

GLENN

Last Name

BYNUM

Suffix

Business Name

GLENN BYNUM MD

Original Issue Date

03/08/1981

Effective Date

03/08/1981

Expiration Date

03/08/1982

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2006