FRANK R GLATZ III Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036724

License Status

EXPIRED

Business

First Name

FRANK

Middle

Last Name

GLATZ III

Business Name

FRANK R GLATZ III

Original Issue Date

06/13/1997

Effective Date

06/13/1997

Expiration Date

06/30/2003

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006