GLENN R RICHARD DO - Medical Doctor License in New York | # 036143029

GLENN R RICHARD DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143029

License Status

NOT RENEWED

Business

N

First Name

GLENN

Middle

R

Last Name

RICHARD

Suffix

DO

Business Name

GLENN R RICHARD DO

Original Issue Date

04/18/2017

Effective Date

04/18/2017

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/14/2021