GLENN ALLEN PARKER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015694

License Status

NOT RENEWED

Business

First Name

GLENN ALLEN

Last Name

PARKER

Suffix

DMD

Business Name

GLENN ALLEN PARKER DMD

Original Issue Date

09/20/1976

Effective Date

09/12/2021

Expiration Date

09/30/2024

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

02/04/2025