GLEN GENEROSO ADUANA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122327

License Status

ACTIVE

Business

First Name

GLEN

Middle

GENEROSO

Last Name

ADUANA

Business Name

GLEN GENEROSO ADUANA

Original Issue Date

12/11/2008

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2023