RYAN JEFFREY GLUTH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071236

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

JEFFREY

Last Name

GLUTH

Business Name

RYAN JEFFREY GLUTH DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/02/2017