DIANNE HENRY GLASS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143728

License Status

ACTIVE

Business

First Name

DIANNE

Middle

HENRY

Last Name

GLASS

Suffix

Business Name

DIANNE HENRY GLASS MD

Original Issue Date

06/29/2017

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2023