MELISSA GRACE GLANTZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112401

License Status

INACTIVE

Business

First Name

MELISSA

Middle

GRACE

Last Name

GLANTZ

Suffix

Business Name

MELISSA GRACE GLANTZ MD

Original Issue Date

09/21/2004

Effective Date

09/21/2004

Expiration Date

07/31/2005

City

BRADENTON

State

Zip

34202

County

FLORIDA

Ever Disciplined

LastModifiedDate

08/16/2007