GLENN ALLEN PARKER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

GLENN ALLEN

Last Name

PARKER

Suffix

DMD

Business Name

GLENN ALLEN PARKER DMD

Original Issue Date

01/01/1998

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025