ROBERT STEPHEN GLICKENBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

STEPHEN

Last Name

GLICKENBERGER

Suffix

Business Name

ROBERT STEPHEN GLICKENBERGER MD

Original Issue Date

06/24/2002

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021