GLENN L APPLEGATE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030098

License Status

EXPIRED

Business

First Name

GLENN

Middle

Last Name

APPLEGATE

Business Name

GLENN L APPLEGATE

Original Issue Date

06/03/1993

Effective Date

06/03/1993

Expiration Date

06/21/1997

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/16/2008