GLENN L APPLEGATE - Medical Doctor License in Illinois | # 125030098

GLENN L APPLEGATE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030098

License Status

EXPIRED

Business

N

First Name

GLENN

Middle

L

Last Name

APPLEGATE

Business Name

GLENN L APPLEGATE

Original Issue Date

06/03/1993

Effective Date

06/03/1993

Expiration Date

06/21/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/16/2008