GLENN C MICHELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086174

License Status

NOT RENEWED

Business

First Name

GLENN C

Last Name

MICHELSON

Suffix

Business Name

GLENN C MICHELSON MD

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

07/31/2002

City

FAIRFAX

State

Zip

94930

Ever Disciplined

LastModifiedDate

07/06/2021