DIANNE HENRY GLASS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000516

License Status

EXPIRED

Business

First Name

DIANNE

Middle

HENRY

Last Name

GLASS

Suffix

Business Name

DIANNE HENRY GLASS MD

Original Issue Date

09/10/2012

Effective Date

09/10/2012

Expiration Date

03/09/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Female Pelvic Med Reconstructive Surg

Ever Disciplined

LastModifiedDate

04/02/2013