GLENN JON ZIMMER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

GLENN

Middle

JON

Last Name

ZIMMER

Business Name

GLENN JON ZIMMER

Original Issue Date

08/16/1983

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2024