RICHARD M GLASS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042560

License Status

INACTIVE

Business

First Name

RICHARD M

Last Name

GLASS

Suffix

Business Name

RICHARD M GLASS MD

Original Issue Date

07/01/1969

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014