BYRON C GLENN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023042

License Status

EXPIRED

Business

First Name

BYRON

Middle

Last Name

GLENN

Suffix

Business Name

BYRON C GLENN MD

Original Issue Date

07/14/1988

Effective Date

07/14/1988

Expiration Date

07/01/1991

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006