GLENNON PAUL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047625

License Status

ACTIVE

Business

First Name

GLENNON

Last Name

PAUL

Suffix

Business Name

GLENNON PAUL MD

Original Issue Date

08/02/1973

Effective Date

08/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

Ever Disciplined

LastModifiedDate

08/13/2023