RICHARD L GLOVER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141013

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

GLOVER

Suffix

Business Name

RICHARD L GLOVER DO

Original Issue Date

06/22/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021