GLENN A POLOVICH DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038005218

License Status

NOT RENEWED

Business

First Name

GLENN A

Last Name

POLOVICH

Suffix

Business Name

GLENN A POLOVICH DC

Original Issue Date

10/01/1984

Effective Date

08/01/2005

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/06/2008