GLEN RICHARD COULOMB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063012

License Status

ACTIVE

Business

First Name

GLEN RICHARD

Last Name

COULOMB

Suffix

Business Name

GLEN RICHARD COULOMB MD

Original Issue Date

08/24/1981

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/27/2023