GLENN ALLAN AMSBAUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053731

License Status

NOT RENEWED

Business

First Name

GLENN ALLAN

Last Name

AMSBAUGH

Suffix

Business Name

GLENN ALLAN AMSBAUGH MD

Original Issue Date

10/14/1976

Effective Date

10/14/1976

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006