FRANK R GLATZ III Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111746

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

Last Name

GLATZ III

Business Name

FRANK R GLATZ III

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006