JEFFREY GLASSROTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062339

License Status

NOT RENEWED

Business

First Name

JEFFREY

Last Name

GLASSROTH

Suffix

Business Name

JEFFREY GLASSROTH MD

Original Issue Date

06/16/1981

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021