GLEN KEITH GEREMIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062473

License Status

ACTIVE

Business

First Name

GLEN KEITH

Last Name

GEREMIA

Suffix

Business Name

GLEN KEITH GEREMIA MD

Original Issue Date

07/10/1981

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/19/2023