WAVERLY GLENN HURT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042890

License Status

NOT RENEWED

Business

First Name

WAVERLY GLENN

Last Name

HURT

Suffix

Business Name

WAVERLY GLENN HURT MD

Original Issue Date

09/16/1969

Effective Date

09/16/1969

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006