BRYAN JEREMY GLAENZER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064539

License Status

CANCELLED

Business

Title

First Name

BRYAN

Middle

JEREMY

Last Name

GLAENZER

Business Name

BRYAN JEREMY GLAENZER MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/15/2014